Management of patients with stroke treated with direct oral anticoagulants

D J Seiffge1,2, A A Polymeris1, J Fladt1

  • 1Neurology and Stroke Center, Department of Clinical Research, University Hospital and University of Basel, Petersgraben 4, 4031, Basel, Switzerland.

Journal of Neurology
|October 8, 2018
PubMed

Insights

Direct oral anticoagulants (DOACs) are common for preventing strokes in atrial fibrillation patients. Managing these patients after a stroke presents clinical challenges, driving new research in this area.

Area of Science:

  • Cardiology
  • Neurology
  • Pharmacology

Background:

  • Direct oral anticoagulants (DOACs) are increasingly prescribed for stroke prevention in atrial fibrillation.
  • Physicians face challenges managing DOAC-treated patients experiencing stroke.

Purpose of the Study:

  • To review current research on managing stroke in patients treated with direct oral anticoagulants.
  • To address clinical challenges in acute and long-term care settings.

Main Methods:

  • Literature review of recent studies on DOACs and stroke management.
  • Synthesis of research findings on challenges and solutions.

Main Results:

  • DOAC use for stroke prevention is rising globally.
  • Specific management strategies for DOAC-related stroke are under active investigation.
  • Clinical practice guidelines are evolving to address these complexities.

Conclusions:

  • Effective management of DOAC-treated stroke patients requires ongoing research and updated clinical protocols.
  • Addressing these challenges is crucial for optimizing patient outcomes.

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