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Recurrence rate after warfarin resumption differs by stroke type

February 20, 2017

When recommending resuming warfarin following a stroke, clinicians should consider that patients with atrial fibrillation who resumed warfarin after hemorrhagic stroke had a higher rate of recurrence than patients with traumatic intracranial hemorrhage, according to research published in JAMA Internal Medicine.

“The increase in the risk for bleeding associated with antithrombotic therapy causes a dilemma in patients with atrial fibrillation (AF) who sustain an intracranial hemorrhage (ICH),” Peter Brønnum Nielsen, PhD, from the department of clinical medicine at Aalborg University in Denmark, and colleagues wrote. “A thrombotic risk is present; however, a risk for serious harm associated with resumption of anticoagulation therapy also exists.”

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