A 70-year-old with atrial fibrillation on apixaban develops a large GI bleed requiring transfusion; endoscopic hemostasis achieved. CHA₂DS₂-VASc 5. Wh...

Question

A 70-year-old with atrial fibrillation on apixaban develops a large GI bleed requiring transfusion; endoscopic hemostasis achieved. CHA₂DS₂-VASc 5. When should anticoagulation generally be resumed?

Accepted Answer

Resume within 7 days once hemostasis secured

Answer

Do not resume due to bleed risk

Answer

Resume after 90 days

Answer

Resume immediately within 24 hours for all cases

Answer

Switch to dual antiplatelet therapy instead

AF-resuming anticoagulation after GI bleed — MRCP Part 1 MCQ

A 70-year-old with atrial fibrillation on apixaban develops a large GI bleed requiring transfusion; endoscopic hemostasis achieved. CHA₂DS₂-VASc 5. When should anticoagulation generally be resumed?