A 72-year-old man with CAD and AF (CHA₂DS₂‑VASc 4) is on apixaban. He asks about adding aspirin for extra protection. Best recommendation?...

Question

A 72-year-old man with CAD and AF (CHA₂DS₂‑VASc 4) is on apixaban. He asks about adding aspirin for extra protection. Best recommendation?

Accepted Answer

Continue DOAC alone unless another clear indication for antiplatelet exists

Answer

Add aspirin 81 mg to reduce stroke

Answer

Switch to warfarin plus aspirin

Answer

Add clopidogrel

Answer

Stop anticoagulation and use aspirin only

us-abim MCQ (SBA): AF and antiplatelet therapy