Question

A 69-year-old with atrial fibrillation and prior GI bleed (now resolved) has CHA₂DS₂-VASc 4 and HAS-BLED 2. eGFR 70. Which anticoagulant strategy is preferred?

Accepted Answer

Direct oral anticoagulant at standard stroke-prevention dose

Answer

No anticoagulation due to prior bleed

Answer

Warfarin with INR goal 1.5-2.0

Answer

Aspirin only

Answer

Left atrial appendage occlusion immediately

Practice question

A 69-year-old with atrial fibrillation and prior GI bleed (now resolved) has CHA₂DS₂-VASc 4 and HAS-BLED 2. eGFR 70. Which anticoagulant strategy is preferred?