Question

A 70-year-old with minor ischemic stroke is on DAPT (aspirin/clopidogrel). He asks whether to extend combination beyond 21 days to 3 months. He has no intracranial stenosis. Best advice?

Accepted Answer

Stop at 21 days and continue single antiplatelet

Answer

Extend to 3 months routinely

Answer

Switch to ticagrelor plus aspirin for 6 months

Answer

Add anticoagulation

Answer

Stop all antiplatelets

Practice question

A 70-year-old with minor ischemic stroke is on DAPT (aspirin/clopidogrel). He asks whether to extend combination beyond 21 days to 3 months. He has no intracranial stenosis. Best advice?