Question

A 72-year-old with atrial fibrillation and a bioprosthetic aortic valve (implanted 2 years ago) has CKD stage 3a (eGFR 48). Which anticoagulant strategy is preferred?

Accepted Answer

Aspirin alone

Answer

Warfarin only

Answer

A DOAC is reasonable/preferred over warfarin (no mechanical valve)

Answer

No anticoagulation if valve is bioprosthetic

Answer

Dual antiplatelet therapy

Practice question

A 72-year-old with atrial fibrillation and a bioprosthetic aortic valve (implanted 2 years ago) has CKD stage 3a (eGFR 48). Which anticoagulant strategy is preferred?