Question

A 58-year-old with AF and recent DES for ACS (8 months ago) is on apixaban and clopidogrel. Bleeding risk is high. What is a reasonable strategy?

Accepted Answer

Consider continuing dual therapy until 12 months then OAC alone, balancing bleeding and ischaemic risks

Answer

Continue DAPT with OAC regardless of risk

Answer

Stop clopidogrel now and continue OAC alone at 8 months universally

Answer

Switch to aspirin plus clopidogrel only

Answer

Stop OAC and use DAPT only

Practice question

A 58-year-old with AF and recent DES for ACS (8 months ago) is on apixaban and clopidogrel. Bleeding risk is high. What is a reasonable strategy?