A 68-year-old man with AF and bioprosthetic aortic valve implanted 8 years ago asks about anticoagulation choice. Which is appropriate?...

Question

A 68-year-old man with AF and bioprosthetic aortic valve implanted 8 years ago asks about anticoagulation choice. Which is appropriate?

Accepted Answer

DOAC acceptable if valve is bioprosthetic and >3 months post-implant

Answer

DOAC contraindicated with any prosthetic valve

Answer

Warfarin only with INR 1.5-2.0

Answer

Aspirin alone

Answer

Dual antiplatelet therapy

us-abim MCQ (SBA): AF-Valve Considerations