Question

A 67-year-old man with nonvalvular AF and prior GI bleed asks about stroke prevention. CHA₂DS₂-VASc=4. Which statement is accurate?

Accepted Answer

DOACs reduce stroke with similar or lower major bleeding than warfarin; gastroprotection should be optimized

Answer

Aspirin is an adequate alternative to anticoagulation

Answer

Warfarin is preferred to DOACs for all NVAF

Answer

No anticoagulation due to prior GI bleed

Answer

Dual antiplatelet therapy is equivalent to anticoagulation

Practice question

A 67-year-old man with nonvalvular AF and prior GI bleed asks about stroke prevention. CHA₂DS₂-VASc=4. Which statement is accurate?