Question

A 63-year-old on apixaban for AF develops suspected HIT after perioperative heparin. Platelets dropped by 60% on day 6 with new DVT. What is recommended?

Accepted Answer

Stop all heparin and initiate a non-heparin anticoagulant (e.g.

Answer

argatroban or bivalirudin)

Answer

Continue heparin pending confirmatory testing

Answer

Start warfarin immediately

Answer

Platelet transfusion routinely

Practice question

A 63-year-old on apixaban for AF develops suspected HIT after perioperative heparin. Platelets dropped by 60% on day 6 with new DVT. What is recommended?