A 63-year-old with AF and prior TIA on apixaban 5 mg BID asks about adding aspirin for stroke prevention. Best advice?...

Question

A 63-year-old with AF and prior TIA on apixaban 5 mg BID asks about adding aspirin for stroke prevention. Best advice?

Accepted Answer

No added benefit; increases bleeding-avoid dual therapy without specific indication

Answer

Add aspirin routinely

Answer

Stop apixaban and use aspirin

Answer

Switch to warfarin and aspirin

Answer

Use clopidogrel plus apixaban

us-abim MCQ (SBA): Atrial Fibrillation