A 74-year-old man with non-valvular atrial fibrillation and a previous ischaemic stroke asks whether he can stop his anticoagulant. His CHADS₂ score i...

Question

A 74-year-old man with non-valvular atrial fibrillation and a previous ischaemic stroke asks whether he can stop his anticoagulant. His CHADS₂ score is 4 and he has had no major bleeding. What is the most appropriate recommendation?

Accepted Answer

Continue long-term oral anticoagulation

Answer

Stop anticoagulation because stroke risk falls with age

Answer

Switch to acetylsalicylic acid alone

Answer

Use dual antiplatelet therapy instead of anticoagulation

Answer

Stop all antithrombotic therapy and monitor clinically

ca-mccqe1 MCQ (SBA): Atrial fibrillation with prior stroke

A 74-year-old man with non-valvular atrial fibrillation and a previous ischaemic stroke asks whether he can stop his anticoagulant. His CHADS₂ score is 4 and he has had no major bleeding. What is the most appropriate recommendation?