Question

A 67-year-old man with AF and CHA₂DS₂‑VASc = 4 has a major GI bleed contraindicating long‑term anticoagulation. What alternative stroke prevention is reasonable?

Accepted Answer

Left atrial appendage occlusion

Answer

Aspirin alone

Answer

No therapy

Answer

IVC filter placement

Answer

Dual antiplatelet therapy

Practice question

A 67-year-old man with AF and CHA₂DS₂‑VASc = 4 has a major GI bleed contraindicating long‑term anticoagulation. What alternative stroke prevention is reasonable?