An active 78 years old female with history of hypertension presents with the new onset of left hemiparesis. Cardiac monitoring reveals atrial fibrillation. She had been in sinus rhythm on check up 3 months earlier. Optimal management at discharge includes a review of antihypertensive therapy. A ventricular rate control agent and which of the following? 1- AICD/Permenant pacemaker to avoid the need of anticoagulation 2- Immediate direct current anticoagulation 3- Antiplatelet therapy such as aspirin without warfarin 4- Antiplatelet therapy plus warfarin with a target INR of 1.5 5- Warfarin with a target INR of 3.0 From: Pre Test Medicine 12th
Re: Case Study 11 I would say that she has to take some anticoagulant and antiplateled alltoghether for at least 5 days with an INR above 1.5 and below 3 in order to disolve the trombus and prevent it in the future....