A 61-year-old with TIA yesterday and atrial fibrillation (CHA₂DS₂-VASc 5) was not on anticoagulation. Brain imaging shows no hemorrhage. Next step?...

Question

A 61-year-old with TIA yesterday and atrial fibrillation (CHA₂DS₂-VASc 5) was not on anticoagulation. Brain imaging shows no hemorrhage. Next step?

Accepted Answer

Start oral anticoagulation now (early) if no contraindication

Answer

Delay anticoagulation for 14 days

Answer

Aspirin only for 90 days

Answer

Dual antiplatelet therapy for 3 months instead of anticoagulation

Answer

IV heparin infusion indefinitely

us-abim MCQ (SBA): TIA with AF