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AF anticoagulation — EECC MCQ

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ModerateCardiologyAF anticoagulationEECC

A 72-year-old man with AF and prior GI bleeding has CHA₂DS₂-VASc = 3. What is the recommendation regarding anticoagulation?

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Correct answer: C — Oral anticoagulation with a DOAC, with bleeding risk mitigation

Stroke risk (CHA₂DS₂-VASc ≥2 in men) warrants anticoagulation; DOACs are preferred, with strategies to mitigate bleeding (e.g., PPI, address source). A/B/D inadequate; E considered when anticoagulation contraindicated.

Reference: ACC/AHA/ACCP/HRS Guideline (2023): Atrial Fibrillation