A 65-year-old male with a history of controlled HTN comes to the emergency department with acute onset weakness of his left upper limb, that resolved over twelve hours. He had suffered two similar episodes over the last 4 months. Examination reveals a B.P of 132/82 mmHg and ECG reveals atrial fibrillation with a ventricular rate of 85 per minute. CT brain scan is normal.
What is the most appropriate Management ?
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What is the most appropriate Management ?
- Warfarin
- Amiodarone
- Dypiradamole
- Aspirin
- Digoxin
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65 yo man with a fib and TIAs - should be on Warfarin (1).
ReplyDelete1.Warfarin
ReplyDeleteaspirin
ReplyDeleteHE SHOULD HAVE A CT HEAD ( NOT IN CHOICE)FIRST THEN IF NOT AN INFARCT SHOULD BE ON WARFARIN .. if infarct should be on ASPIRIN 300MG BD FOR 14 DAYS to avoid haemorrhagic transformation of the infarct then warfarinzed
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