A 60-year-old with nonvalvular AF and prior GI bleed 2 years ago (resolved) asks about stroke prevention. CHA₂DS₂‑VASc is 3. What is recommended?...

Question

A 60-year-old with nonvalvular AF and prior GI bleed 2 years ago (resolved) asks about stroke prevention. CHA₂DS₂‑VASc is 3. What is recommended?

Accepted Answer

Resume anticoagulation with a DOAC, balancing bleeding risk

Answer

Aspirin alone

Answer

No therapy due to prior bleed

Answer

Warfarin plus aspirin

Answer

Left atrial appendage occlusion as first-line

us-abim MCQ (SBA): Atrial Fibrillation