Question

A 60-year-old with chronic atrial fibrillation and stable coronary disease (>1 year post‑PCI) is on rivaroxaban and clopidogrel. No recent events. Optimal antithrombotic regimen?

Accepted Answer

Oral anticoagulant monotherapy without routine antiplatelet therapy

Answer

Continue dual therapy indefinitely

Answer

Add aspirin for triple therapy

Answer

Stop anticoagulant and use clopidogrel only

Answer

Switch to warfarin plus aspirin

Practice question

A 60-year-old with chronic atrial fibrillation and stable coronary disease (>1 year post‑PCI) is on rivaroxaban and clopidogrel. No recent events. Optimal antithrombotic regimen?