A 72-year-old man with paroxysmal AF has recurrent major gastrointestinal bleeding despite attempts to modify bleeding risk. His thromboembolic risk

Question

A 72-year-old man with paroxysmal AF has recurrent major gastrointestinal bleeding despite attempts to modify bleeding risk. His thromboembolic risk remains high and long-term anticoagulation is judged intolerable. Which non-pharmacological strategy may be considered?

Accepted Answer

Percutaneous left-atrial-appendage closure

Answer

Subtherapeutic warfarin with an INR target below 2.0

Answer

Empirical half-dose anticoagulation plus aspirin

Answer

Dual antiplatelet therapy as a permanent anticoagulant substitute

Answer

No stroke-prevention therapy after shared decision-making

LAA Closure — EECC MCQ

A 72-year-old man with paroxysmal AF has recurrent major gastrointestinal bleeding despite attempts to modify bleeding risk. His thromboembolic risk remains high and long-term anticoagulation is judged intolerable. Which non-pharmacological strategy may be considered?