A 59-year-old with AF (CHA₂DS₂‑VASc 3) asks if clopidogrel plus aspirin can replace anticoagulation due to fear of bleeding. Best response?...

Question

A 59-year-old with AF (CHA₂DS₂‑VASc 3) asks if clopidogrel plus aspirin can replace anticoagulation due to fear of bleeding. Best response?

Accepted Answer

DAPT is inferior; anticoagulation is recommended unless contraindicated

Answer

Yes, DAPT equals DOACs

Answer

DAPT reduces bleeding compared with DOACs

Answer

Aspirin alone is sufficient

Answer

No therapy is needed if episodes are paroxysmal

AF-Antiplatelet vs OAC — MRCP Part 1 MCQ