59 years old Diabetes patient operated earlier for ASD presented with stroke left he Mille his with motor aphasia. I agreed with my most of friends who mentioned Atrial Fibrillation leading to CVA right MCA Infarction as First Admission CT scan and ECG revealed. Some of the patients develop AF after surgery for ASD. She has permanent AF for the past 4-5 years and on oral Anticoagulation earlier acitrom and on NOAC Rivarobaxan 20 mg daily for the one year.
However for the past 3 months on irregular Oral Anticoagulation due to her travel to USA and back. She was back from her trip abroad just week back and presented to Tathagat with Sudden onset stroke within 2 Hours after Stroke. According to latest stroke management AHA guidelines and consultation with neurologist Thrombolytics can be given within 4.5 hours but still with risk of hemorrhagic transformation . Patient was given…
