A 58-year-old man presents to the Emergency Department following an episode of transient right-sided weakness which lasted approximately 20 minutes. He has had two previous episodes of a similar nature. On examination he is found to be in atrial fibrillation at a rate of 80 bpm. CT head is normal He is started on aspirin 300mg od. Two days later he has a carotid doppler which is normal. What is the most appropriate management? A. Start digoxin B. Switch to aspirin 300mg od + dipyridamole 200mg bd long-term C. Wait two weeks from the date of the last event then switch from aspirin to warfarin D. Switch to aspirin 75mg od long-term E. Start warfarin
Posted on: Thu, 01 May 2014 15:07:29 +0000
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