A 74-year-old on chronic warfarin for AF requires elective low-bleeding-risk endoscopy; CHA₂DS₂-VASc=3, no mechanical valve. Per perioperative guidanc...

Question

A 74-year-old on chronic warfarin for AF requires elective low-bleeding-risk endoscopy; CHA₂DS₂-VASc=3, no mechanical valve. Per perioperative guidance, what about bridging?

Accepted Answer

No bridging for most AF; hold warfarin per protocol

Answer

Bridge with full-dose LMWH for all AF

Answer

Switch to IV heparin infusion

Answer

Continue warfarin without interruption

Answer

Add aspirin during the hold

us-abfm MCQ (SBA): Perioperative Anticoagulation

A 74-year-old on chronic warfarin for AF requires elective low-bleeding-risk endoscopy; CHA₂DS₂-VASc=3, no mechanical valve. Per perioperative guidance, what about bridging?