Question

A 72-year-old woman with nonvalvular AF, CKD stage G3aA2, and prior GI bleed is evaluating anticoagulation. Which is the guideline-preferred anticoagulant class when OAC is indicated and no mechanical valve is present?

Accepted Answer

DOACs (dose-adjusted for renal function)

Answer

Aspirin

Answer

Warfarin for all CKD

Answer

Left atrial appendage occlusion instead of OAC

Answer

No therapy due to prior GI bleed

Practice question

A 72-year-old woman with nonvalvular AF, CKD stage G3aA2, and prior GI bleed is evaluating anticoagulation. Which is the guideline-preferred anticoagulant class when OAC is indicated and no mechanical valve is present?