Question

A 67-year-old with nonvalvular AF and prior GI bleed 3 years ago is concerned about bleeding with anticoagulation. He has CHA₂DS₂‑VASc 4 and HAS‑BLED 2. What is the best counseling?

Accepted Answer

Recommend DOAC; bleeding risk does not outweigh stroke prevention

Answer

Avoid anticoagulation due to prior bleed

Answer

Use aspirin only to balance risks

Answer

Use dual antiplatelet therapy instead of anticoagulation

Answer

Recommend left atrial appendage occlusion first-line

Practice question

A 67-year-old with nonvalvular AF and prior GI bleed 3 years ago is concerned about bleeding with anticoagulation. He has CHA₂DS₂‑VASc 4 and HAS‑BLED 2. What is the best counseling?