Hervatten van antistolling na een hersenbloeding

Translated title of the contribution: Resumption of antithrombotic treatment after an intracerebral haemorrhage

L. Jaap Kappelle, Jeanette Hofmeijer, Steven A. Chamuleau, Koen M. Van Nieuwenhuizen, Martin E.W. Hemels, C. J.M. Klijn

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

• There is no evidence from randomised clinical trials with regard to the question if and when to resume antithrombotic medication in patients who have suffered an intracerebral haemorrhage and in whom medication continues to be indicated. • It is unknown whether new oral anticoagulants are more suitable than vitamin K antagonists in this group of patients. • Oral anticoagulants should probably not be resumed in patients with a lobar intracerebral haemorrhage caused by cerebral amyloid angiopathy. They can be considered in patients with a haemorrhage in subcortical regions of the brain, the brain stem or the cerebellum, provided that blood pressure levels are under control. • Depending on the risk of a cardiac embolus, antithrombotic medication can be resumed from 1 to 10 weeks after the intracerebral haemorrhage. In patients with atrial fibrillation this risk can be calculated using the CHA2DS2VASc score. • In patients with a cardiac indication for antithrombotic medication the decision whether or not to resume medication should be made by a cardiologist and a neurologist in collaboration. Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.

Translated title of the contributionResumption of antithrombotic treatment after an intracerebral haemorrhage
Original languageDutch
Article numberA8507
JournalNederlands tijdschrift voor geneeskunde
Volume159
Issue number17
Publication statusPublished - 2015
Externally publishedYes

Keywords

  • METIS-313113
  • IR-98942

Fingerprint Dive into the research topics of 'Resumption of antithrombotic treatment after an intracerebral haemorrhage'. Together they form a unique fingerprint.

Cite this