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Yes this is meant to be an academic site...........so any answers yet? >More thoughts from the ignorant. > >Clearly a patient who has had one half of their coagulation casacade stuffed >by thrombolysis and the other half by warfarin is more likely to have a bleed >than one who is not anti-coagulated...........but by how much? >if the risk of major bleed on strep is 1% ish and tPA 2% ish what is it with >warfarin? >Just had a patient with warfarin on board who had myocardial ischaemia (not >infarcting) and was provoked in to thinking (for a change) >all replies will be gratefully accepted! >Peter > > > > %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%