A 70-year-old man experiences a transient episode of right arm weakness and speech difficulty lasting 20 minutes which completely resolves. CT brain i...

Question

A 70-year-old man experiences a transient episode of right arm weakness and speech difficulty lasting 20 minutes which completely resolves. CT brain is normal. Carotid ultrasound shows 60% stenosis of the left internal carotid artery. ABCD2 score is 6 (high risk). What is the most appropriate immediate antiplatelet strategy?

Accepted Answer

Aspirin plus clopidogrel dual therapy for 21 days then single antiplatelet

Answer

No antiplatelet therapy is required until carotid surgery

Answer

Aspirin 100 mg daily alone

Answer

Clopidogrel monotherapy with no initial aspirin

Answer

Warfarin anticoagulation

au-amc MCQ (SBA): Transient ischaemic attack antiplatelet strategy