A 70-year-old with AF and severe calcific mitral stenosis (valvular AF) asks about DOACs. Best response?...

Question

A 70-year-old with AF and severe calcific mitral stenosis (valvular AF) asks about DOACs. Best response?

Accepted Answer

Warfarin is recommended

Answer

Any DOAC is acceptable

Answer

Aspirin plus clopidogrel is preferred

Answer

No anticoagulation is needed

Answer

Switch to low-intensity warfarin (INR 1.5-2.0)

us-abim MCQ (SBA): Atrial Fibrillation (Valvular)