A 58-year-old woman with AF (CHA₂DS₂‑VASc 2) and rheumatic moderate mitral stenosis asks about DOACs. What should you advise?...

Question

A 58-year-old woman with AF (CHA₂DS₂‑VASc 2) and rheumatic moderate mitral stenosis asks about DOACs. What should you advise?

Accepted Answer

Warfarin is recommended; DOACs are not indicated

Answer

Start apixaban 5 mg BID

Answer

Start rivaroxaban 20 mg daily

Answer

Aspirin alone is sufficient

Answer

No therapy needed

us-abim MCQ (SBA): AF-Rheumatic MS