Question

A 65‑year‑old woman with AF (nonvalvular), prior GI bleed two years ago now resolved, CHA₂DS₂‑VASc 4. She refuses anticoagulation. Which alternative may be considered?

Accepted Answer

Left atrial appendage occlusion device after multidisciplinary assessment

Answer

Dual antiplatelet therapy long‑term

Answer

Aspirin alone

Answer

Warfarin only during winter months

Answer

No therapy if asymptomatic

Practice question

A 65‑year‑old woman with AF (nonvalvular), prior GI bleed two years ago now resolved, CHA₂DS₂‑VASc 4. She refuses anticoagulation. Which alternative may be considered?