Question

A 78-year-old with warfarin for AF (INR 2.6) needs a dental extraction. No prior stroke/TIA

Accepted Answer

Continue warfarin without heparin bridging for minor dental procedures

Answer

CHA₂DS₂‑VASc 3. What is the perioperative anticoagulation plan per CHEST?

Answer

Hold warfarin and bridge with therapeutic LMWH

Answer

Stop warfarin 7 days prior for all procedures

Answer

Switch to DOAC 48 hours pre‑procedure

Practice question

A 78-year-old with warfarin for AF (INR 2.6) needs a dental extraction. No prior stroke/TIA