Question

Resumption of Oral Anticoagulation after Intracerebral Hemorrhage is Associated with Decreased Mortality and Favorable Functional Outcome

Answer 1

Resumption of Oral Anticoagulation (OAT) after Intracerebral Hemorrhage (ICH) is Associated with Decreased Mortality and Favorable Functional Outcome. With 10 to 15 per cent of all ICH cases occurring in the context of therapeutic anticoagulation for the prevention of cardioembolic stroke owing to atrial fibrillation, oral anticoagulation medication (OAT) is linked to an elevated risk of ICH.

When OAT is resumed after ICH, patients and doctors are presented with a crucial therapeutic conundrum where the risk of recurrent bleeding is outweighed by the need to prevent thromboembolic events.OAT restart was not linked to an increased risk of ICH recurrence but rather lower risk of ischemic stroke after lobar and nonlabor ICH.

Data identifying new relationships between oral anticoagulation restart after ICH in the presence of atrial fibrillation and long-term consequences in terms of mortality and functional status.

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