A 65-year-old man with nonvalvular AF, CKD stage 3, and prior GI bleed asks about antithrombotic options. Which is preferred to minimize bleeding with...

Question

A 65-year-old man with nonvalvular AF, CKD stage 3, and prior GI bleed asks about antithrombotic options. Which is preferred to minimize bleeding with effective stroke prevention?

Accepted Answer

Apixaban 5 mg BID (dose adjust per criteria)

Answer

Warfarin (INR 2-3)

Answer

Rivaroxaban 20 mg daily

Answer

Dabigatran 150 mg BID

Answer

Aspirin alone

us-abim MCQ (SBA): Atrial fibrillation (agent selection)

A 65-year-old man with nonvalvular AF, CKD stage 3, and prior GI bleed asks about antithrombotic options. Which is preferred to minimize bleeding with effective stroke prevention?