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Archivos de Medicina Interna

Print version ISSN 0250-3816On-line version ISSN 1688-423X


PEREZ PAPADOPULOS, Verónica et al. Thromboprophylaxis and anticoagulation after hemorrhagic stroke. Arch. Med Int [online]. 2012, vol.34, n.3, pp.80-87. ISSN 0250-3816.

ABSTRACT: Arch Med Interna 2012 - 34(3):80-87 Hemorrhagic stroke or non traumatic cerebral hemorrhage is a significant cause of morbi-mortality globally, and it is the most dreaded adverse effect of anticoagulant therapy. When it does occur, it is significantly more lethal than other hemorrhages, and it accounts for 90% of the deaths that result from bleeding in patients receiving warfarin. Thromboembolic disease is a frequent complication in patients with stroke; therefore, balancing the prophylaxis and therapy of thromboembolic events with the risk of recurrence of intracranial bleeding becomes a true clinical and therapeutic challenge. The objective of this review is to discuss the importance of thromboembolic disease in patients presenting with cerebral hemorrhage, thromboprophylaxis and the management of the patients treated with oral anticoagulants, as well as the timing for resuming the administration of such agents after a recent cerebral hemorrhage

Keywords : Stroke; Cerebral hemorrhage; Thromboprophylaxis; Anticoagulants; Oral anticoagulants; Thromboembolic disease.

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