What is the optimal antithrombotic management, if at all, in patients with incidentally identified findings of multiple silent embolic appearing cerebral infarcts?  

It is important to confirm the pattern is embolic. If unsure, input from a specialized physician (such as vascular neurology or neuro-radiology, if available) can aid in confirming the diagnosis. Various white matter findings may mimic an embolic pattern, and distinguishing between uni...

Since anticoagulation with apixaban did not show superiority to antiplatelet therapy in the atrial cardiopathy study (ARCADIA trial), I see no reason to use anticoagulation, pending further evidence. Antiplatelet therapy and statin are indicated after an ischemic stroke. Atrial cardiopathy is in an...