A 73-year-old with chronic AF and prior GI bleed asks about stroke prevention. HAS-BLED is 3; CHA₂DS₂-VASc is 4. What is recommended?...

Question

A 73-year-old with chronic AF and prior GI bleed asks about stroke prevention. HAS-BLED is 3; CHA₂DS₂-VASc is 4. What is recommended?

Accepted Answer

Offer anticoagulation after addressing modifiable bleeding risks

Answer

Avoid anticoagulation because HAS-BLED ≥3

Answer

Aspirin alone

Answer

Dual antiplatelet therapy

Answer

Left atrial appendage occlusion first-line for all

ukmla MCQ (SBA): AF – balancing stroke and bleed risk