Question

A 68-year-old man with TIA and new AF (CHA₂DS₂-VASc 5) asks when to start anticoagulation after a minor ischemic stroke (small infarct, no hemorrhage).

Accepted Answer

Start within 2-14 days depending on infarct size; minor infarcts allow early start

Answer

Wait 30 days

Answer

Start immediately within 24 hours for all strokes

Answer

Delay 6 weeks

Answer

Never anticoagulate after stroke

Practice question

A 68-year-old man with TIA and new AF (CHA₂DS₂-VASc 5) asks when to start anticoagulation after a minor ischemic stroke (small infarct, no hemorrhage).