Question

A 62-year-old with a high-risk TIA (ABCD2 = 5) presents 6 hours after symptom resolution. CT head is normal; no atrial fibrillation. Best antithrombotic plan?

Accepted Answer

Start dual antiplatelet therapy (aspirin + clopidogrel) for 21 days, then single antiplatelet

Answer

Start aspirin monotherapy indefinitely

Answer

Start warfarin with INR goal 2-3

Answer

Start ticagrelor monotherapy indefinitely

Answer

No antithrombotic therapy needed if CT is normal

Practice question

A 62-year-old with a high-risk TIA (ABCD2 = 5) presents 6 hours after symptom resolution. CT head is normal; no atrial fibrillation. Best antithrombotic plan?