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Mechanical valve anticoagulation — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsMechanical valve anticoagulationGPhC CRA

A 61-year-old man with a mechanical mitral valve asks whether apixaban would be easier than warfarin monitoring. What is the most appropriate alternative?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Continue warfarin with INR monitoring

Direct oral anticoagulants are not appropriate for mechanical heart valves, where warfarin remains required. This makes continue warfarin with inr monitoring the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; NICE CKS