Outcomes Associated With Resuming Warfarin Treatment After Hemorrhagic Stroke or Traumatic Intracranial Hemorrhage in Patients With Atrial Fibrillation -

Outcomes Associated With Resuming Warfarin Treatment After Hemorrhagic Stroke or Traumatic Intracranial Hemorrhage in Patients With Atrial Fibrillation
Information type: Other primary research
Source: JAMA Internal Medicine
Specialities: Cardiovascular system disorders | Haematological disorders
Summary
Study of 2415 patients who experienced a traumatic intracranial haemorrhage (ICH) or haemorrhagic stroke (HS) showed resuming warfarin therapy was associated with lower rate of ischaemic stroke or systemic embolism. However, in those with HS, a high rate of ICH was observed.
UKMi comment
A related editorial discusses the findings of this study, suggesting patients with atrial fibrillation who sustain a hemorrhagic stroke or traumatic intracranial hemorrhage have different prognoses, and recommendations for resuming oral anticoagulant treatment should consider this difference. Further larger randomised controlled trials are needed to provide definitive guidance.
Related links: Editorial