Question

A 70-year-old with AF and prior intracranial hemorrhage now at very high stroke risk (CHA₂DS₂‑VASc 6). After multidisciplinary evaluation, anticoagulation remains contraindicated. What alternative is guideline-supported?

Accepted Answer

Left atrial appendage occlusion device

Answer

Aspirin alone

Answer

No therapy

Answer

DAPT long-term

Answer

Low-dose warfarin

Practice question

A 70-year-old with AF and prior intracranial hemorrhage now at very high stroke risk (CHA₂DS₂‑VASc 6). After multidisciplinary evaluation, anticoagulation remains contraindicated. What alternative is guideline-supported?