Question

A 71-year-old woman with AF and prior stroke is on warfarin. INR control is poor (time in therapeutic range 45%). She has no rheumatic MS or mechanical valve. Best strategy?

Accepted Answer

Switch to a DOAC if no contraindication

Answer

Continue warfarin and add aspirin

Answer

Stop anticoagulation due to labile INRs

Answer

Use dual antiplatelet therapy

Answer

Bridge with LMWH chronically

Practice question

A 71-year-old woman with AF and prior stroke is on warfarin. INR control is poor (time in therapeutic range 45%). She has no rheumatic MS or mechanical valve. Best strategy?