Question

A 68-year-old with prior stroke and paroxysmal AF is intolerant of DOACs due to recurrent major GI bleeding despite optimization. What stroke prevention is guideline-supported?

Accepted Answer

Left atrial appendage occlusion in selected patients

Answer

No therapy

Answer

Dual antiplatelet therapy long term

Answer

Warfarin despite bleeding

Answer

Catheter ablation to eliminate need for stroke prevention

Practice question

A 68-year-old with prior stroke and paroxysmal AF is intolerant of DOACs due to recurrent major GI bleeding despite optimization. What stroke prevention is guideline-supported?