Question

A 66-year-old with AF (CHA₂DS₂-VASc 5) and prior GI bleed 2 years ago has stabilized. He asks about antithrombotic options. Which is recommended?

Accepted Answer

Oral anticoagulation is recommended; DOACs preferred over warfarin if eligible

Answer

Aspirin alone is adequate

Answer

Left atrial appendage occlusion is first-line in all high-risk

Answer

Dual antiplatelet therapy in place of anticoagulation

Answer

No therapy due to prior bleed

Practice question

A 66-year-old with AF (CHA₂DS₂-VASc 5) and prior GI bleed 2 years ago has stabilized. He asks about antithrombotic options. Which is recommended?