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Spontaneous intracerebral hemorrhage (ICH) is associated with increased risks for both recurrent hemorrhagic stroke and incident ischemic stroke. These possibilities place decisions about optimal antithrombotic management between the Scylla of recurrent bleeding and the Charybdis of ischemia. Previous data suggesting that these two possibilities are roughly equal have been drawn largely from hospital-based cohorts, which can be prone to selection bias. Investigators have now combined individual patient-level data from two prospective, population-based cohort studies, which yielded 674 patients with a first ICH.
During a total of 1553 person-years of follow-up, the recurrent ICH rate was 3.2 per 100 patient-years and the rate of ischemic stro…