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Brain hemorrhage

Restarting anticoagulation after intracranial hemorrhage

Decisions regarding resumption of anticoagulation are difficult in patients who present with a warfarin-associated intracranial hemorrhage and also have atrial fibrillation or a prosthetic heart valve. Current guidelines suggest waiting 1–2 weeks on average, but new research suggests that the optimal time to restart anticoagulation could be much later.

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Acknowledgements

E. B. Marsh is the recipient of an NIH/National Institute of Neurological Disorders and Stroke R25 training grant on an associated topic, which will assist in funding some of her salary support.

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Correspondence to Rebecca F. Gottesman.

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The authors declare no competing financial interests.

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Marsh, E., Gottesman, R. Restarting anticoagulation after intracranial hemorrhage. Nat Rev Neurol 7, 130–132 (2011). https://doi.org/10.1038/nrneurol.2011.6

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