Andreas Gruentzig Hon Fellow ACI London 2025; Commonwealth Fellow in Interventional Cardiology; Chairman - Cardiology, MAX Hospital, Lucknow; Former  Professor & Head Cardiology, SGPGIMS, Lucknow

Timely detection of atrial fibrillation following stroke is critical to preventing recurrent cerebrovascular events, yet anticoagulation decisions in elderly and frail patients remain challenging due to competing risks of thromboembolism and bleeding. This keynote session will examine contemporary evidence on post-stroke AF detection, risk stratification, and individualized anticoagulation initiation, with a focus on balancing efficacy, safety, and patient-specific considerations in routine clinical practice.

Post-stroke AF detection in elderly and frail patients: age-stratified bleeding risk and the anticoagulation initiation decision

This interactive case-based discussion will present a challenging real-world scenario involving a patient with atrial fibrillation undergoing PCI, highlighting the complexities of balancing thrombotic protection with bleeding risk. Following the case presentation, an expert faculty panel will discuss evidence-based strategies for selecting and optimizing antithrombotic therapy, duration of combination treatment, and individualized decision-making in line with contemporary clinical practice.

Special Case: Navigating the ‘Sweet-spot’ in antithrombotic management: Optimizing anticoagulation therapy post PCI in AF

This case-based panel discussion will examine the perioperative management of anticoagulation in patients with atrial fibrillation, focusing on the clinical decisions surrounding interruption, bridging, and timely resumption of therapy. Through a real-world case presentation followed by expert deliberation, the faculty will discuss practical, evidence-based approaches to minimizing both thromboembolic and bleeding risks while navigating diverse surgical and procedural settings.

Dr. Nakul Sinha

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Upcoming Sessions