Question

A 72-year-old woman with atrial fibrillation and a history of gastrointestinal bleeding is at high risk for stroke but is contraindicated for long-term anticoagulation. Which of the following therapeutic options is reasonable?

Accepted Answer

Percutaneous left atrial appendage occlusion

Answer

No therapy

Answer

Dual antiplatelet therapy

Answer

Low-dose direct oral anticoagulant

Answer

Warfarin with an INR of 1.5-2.0

Practice question

A 72-year-old woman with atrial fibrillation and a history of gastrointestinal bleeding is at high risk for stroke but is contraindicated for long-term anticoagulation. Which of the following therapeutic options is reasonable?