A 78-year-old man with atrial fibrillation and hypertension is taking apixaban for stroke prevention. He asks whether he still needs an annual ECG. Ac...

Question

A 78-year-old man with atrial fibrillation and hypertension is taking apixaban for stroke prevention. He asks whether he still needs an annual ECG. According to Choosing Wisely Canada, what is the most appropriate advice?

Accepted Answer

ECG should only be repeated if there is a change in clinical status, symptoms or medications

Answer

Routine annual ECGs are necessary in all stable patients

Answer

ECG should be performed monthly

Answer

Holter monitoring is required annually

Answer

He should stop apixaban if ECG is normal

ca-mccqe1 MCQ (SBA): Use of ECG in stable patients

A 78-year-old man with atrial fibrillation and hypertension is taking apixaban for stroke prevention. He asks whether he still needs an annual ECG. According to Choosing Wisely Canada, what is the most appropriate advice?