A 57-year-old man with atrial fibrillation and a history of percutaneous coronary intervention (PCI) asks about combining therapies. He completed dual...

Question

A 57-year-old man with atrial fibrillation and a history of percutaneous coronary intervention (PCI) asks about combining therapies. He completed dual antiplatelet therapy (DAPT) 12 months ago and remains on apixaban. What is the best ongoing antithrombotic plan?

Accepted Answer

Oral anticoagulant (OAC) alone for atrial fibrillation unless another clear indication for antiplatelet therapy exists.

Answer

Continue DAPT plus OAC indefinitely.

Answer

Aspirin plus OAC indefinitely.

Answer

Stop OAC and continue clopidogrel.

Answer

Triple therapy for life.

us-abim MCQ (SBA): AF with Prior PCI-Maintenance Strategy

A 57-year-old man with atrial fibrillation and a history of percutaneous coronary intervention (PCI) asks about combining therapies. He completed dual antiplatelet therapy (DAPT) 12 months ago and remains on apixaban. What is the best ongoing antithrombotic plan?