A 66-year-old with new diagnosis of AF presents to clinic with BP 128/78 and HR 92 on metoprolol. He asks about aspirin instead of anticoagulation (CH...

Question

A 66-year-old with new diagnosis of AF presents to clinic with BP 128/78 and HR 92 on metoprolol. He asks about aspirin instead of anticoagulation (CHA₂DS₂‑VASc 3). What do guidelines say?

Accepted Answer

Aspirin is not an alternative to anticoagulation for stroke prevention in AF

Answer

Aspirin preferred if bleeding risk exists

Answer

Aspirin equals OAC in efficacy

Answer

Use aspirin if age >65 only

Answer

Alternate months aspirin and OAC

us-abim MCQ (SBA): AF-Aspirin vs OAC

A 66-year-old with new diagnosis of AF presents to clinic with BP 128/78 and HR 92 on metoprolol. He asks about aspirin instead of anticoagulation (CHA₂DS₂‑VASc 3). What do guidelines say?