Question

A 71-year-old develops melena on warfarin with INR 2.6. Upper endoscopy shows a bleeding duodenal ulcer, treated endoscopically. What next for antithrombotics?

Accepted Answer

Resume anticoagulation within 7 days once hemostasis is secure, balancing risks

Answer

Resume warfarin immediately today

Answer

Permanently discontinue warfarin

Answer

Bridge with IV heparin immediately

Answer

Start aspirin instead of warfarin

Practice question

A 71-year-old develops melena on warfarin with INR 2.6. Upper endoscopy shows a bleeding duodenal ulcer, treated endoscopically. What next for antithrombotics?