Question

A 74-year-old woman with atrial fibrillation and a prior stroke is asking about taking aspirin concurrently for primary prevention of coronary artery disease. She has no recent acute coronary syndrome or percutaneous coronary intervention. What is recommended?

Accepted Answer

Stop aspirin unless there is a clear secondary prevention indication

Answer

Continue aspirin with apixaban

Answer

Switch to warfarin

Answer

Add clopidogrel

Answer

Add low-dose rivaroxaban

Practice question

A 74-year-old woman with atrial fibrillation and a prior stroke is asking about taking aspirin concurrently for primary prevention of coronary artery disease. She has no recent acute coronary syndrome or percutaneous coronary intervention. What is recommended?