Anticoagulation initiation · Stroke + AF

When to start the DOAC

Comparison between the EHRA 2021 clinical rule (NIHSS-based) and the evidence from the ELAN trial (imaging-based).

01 / Clinical
NIHSS severity
Determines the target day per the 1-3-6-12 rule (EHRA).
02 / Neuroimaging
Infarct size
Radiological classification by CT or MRI per ELAN.
03 / Timing
Time since onset
Time elapsed since symptom onset (or “last seen well”).
Complete all three sections to see the comparison.