Question

A 68-year-old man presents with melaena and haemodynamic stability. He is on low-dose acetylsalicylic acid for secondary prevention after MI. Endoscopy shows a bleeding duodenal ulcer, which is successfully treated endoscopically. H. pylori testing is positive. What is the best long-term strategy regarding his acetylsalicylic acid?

Accepted Answer

Resume acetylsalicylic acid immediately with PPI and H. pylori eradication

Answer

Stop acetylsalicylic acid permanently

Answer

Switch to clopidogrel monotherapy

Answer

Delay acetylsalicylic acid for 8 weeks until ulcer heals

Answer

Restart acetylsalicylic acid only if cardiovascular symptoms recur

Practice question