A 58-year-old with NSTEMI 18 months ago and persistent paroxysmal atrial fibrillation (CHA₂DS₂-VASc 4, no stent) is on apixaban. He asks if he should ...

Question

A 58-year-old with NSTEMI 18 months ago and persistent paroxysmal atrial fibrillation (CHA₂DS₂-VASc 4, no stent) is on apixaban. He asks if he should take aspirin for his coronary disease. Best recommendation?

Accepted Answer

Continue apixaban monotherapy without aspirin

Answer

Switch to warfarin and add aspirin

Answer

Add low-dose aspirin to apixaban indefinitely

Answer

Stop apixaban and use clopidogrel alone

Answer

Use dual antiplatelet therapy (aspirin + clopidogrel) without anticoagulation

us-abim MCQ (SBA): Atrial Fibrillation

A 58-year-old with NSTEMI 18 months ago and persistent paroxysmal atrial fibrillation (CHA₂DS₂-VASc 4, no stent) is on apixaban. He asks if he should take aspirin for his coronary disease. Best recommendation?