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What should be the role of antiplatelet therapy in stroke?

6 doctors weighed in
3 doctors agree

In brief: Secondary prevention

Antiplatelet therapy is indicated for secondary stroke prevention in both large and small vessel disease.
This would include carotid artery, vertebrobasilar arteries, and the intracranial arteries. Current recommendations are for single agent therapy, but patients should be tested periodically with platelet aggregation tests to determine drug efficacy. No indications for primary prevention.

In brief: Secondary prevention

Antiplatelet therapy is indicated for secondary stroke prevention in both large and small vessel disease.
This would include carotid artery, vertebrobasilar arteries, and the intracranial arteries. Current recommendations are for single agent therapy, but patients should be tested periodically with platelet aggregation tests to determine drug efficacy. No indications for primary prevention.
Dr. Jonathan Dissin
Dr. Jonathan Dissin
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Dr. Michael Korona
Radiology - Interventional
1 doctor agrees

In brief: Aspirin helps

Aspirin therapy can decrease chance of stroke in patients with carotid artery disease.
If patient has experienced a TIA or mini stroke, Plavix (clopidogrel) may be added. If patient has a stroke these medicines will be used a day or two after the stroke to prevent more strokes. Better not to use the day of a stroke due to risk of bleeding, unless special circumstances.

In brief: Aspirin helps

Aspirin therapy can decrease chance of stroke in patients with carotid artery disease.
If patient has experienced a TIA or mini stroke, Plavix (clopidogrel) may be added. If patient has a stroke these medicines will be used a day or two after the stroke to prevent more strokes. Better not to use the day of a stroke due to risk of bleeding, unless special circumstances.
Dr. Michael Korona
Dr. Michael Korona
Thank
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