A 65-year-old on DOAC presents with GI bleeding now resolved; he had an unprovoked PE 2 years ago and stopped anticoagulation after 6 months. He asks ...

Question

A 65-year-old on DOAC presents with GI bleeding now resolved; he had an unprovoked PE 2 years ago and stopped anticoagulation after 6 months. He asks about duration if another unprovoked event occurs. What do guidelines generally suggest?

Accepted Answer

Indefinite anticoagulation if bleeding risk acceptable

Answer

Limit therapy to 3 months

Answer

Treat 6 months then stop

Answer

Aspirin only long-term

Answer

Prophylactic-dose LMWH intermittently

us-abim MCQ (SBA): Unprovoked VTE-Extended Therapy

A 65-year-old on DOAC presents with GI bleeding now resolved; he had an unprovoked PE 2 years ago and stopped anticoagulation after 6 months. He asks about duration if another unprovoked event occurs. What do guidelines generally suggest?