A 71-year-old with AF on DOAC and history of frequent falls asks if he should stop anticoagulation. CHA₂DS₂-VASc 5. Best response?...

Question

A 71-year-old with AF on DOAC and history of frequent falls asks if he should stop anticoagulation. CHA₂DS₂-VASc 5. Best response?

Accepted Answer

Continue DOAC; stroke risk reduction outweighs typical fall risk

Answer

Stop DOAC due to falls

Answer

Switch to aspirin

Answer

Lower DOAC dose empirically

Answer

Use warfarin with INR 1.0-1.5

us-abim MCQ (SBA): AF (Falls vs Anticoagulation)