Question

A 66-year-old with AF and prior stroke (CHA₂DS₂‑VASc 5) is highly adherent to apixaban. He asks if aspirin should be added for stroke prevention. Best answer?

Accepted Answer

No; do not add aspirin unless a separate indication exists

Answer

Add aspirin to reduce stroke further

Answer

Switch to warfarin plus aspirin

Answer

Stop anticoagulation and use aspirin only

Answer

Add clopidogrel

Practice question

A 66-year-old with AF and prior stroke (CHA₂DS₂‑VASc 5) is highly adherent to apixaban. He asks if aspirin should be added for stroke prevention. Best answer?