Investigate early during the pathway for a new acute stroke patient to identify cardiac rhythm and treatment options
Confirmed diagnosis of new ischaemic stroke or TIA
Atrial fibrillation → Oral anticoagulation unless contraindication → Oral anticoagulation contraindicated → Antiplatelet therapy. Aspirin 300mg immediately. Substitute with clopidogrel 300mg if aspirin intolerant
Atrial fibrillation → Control tachycardia with rate control, e.g. B-blocker or digoxin
No Atrial fibrillation → Antiplatelet therapy. Aspirin 300mg immediately. Substitute with clopidogrel 300mg if aspirin intolerant
Page last reviewed: 21 Jul 2023
