Question

A 66-year-old with AF and CHA₂DS₂‑VASc 5 has a contraindication to long‑term anticoagulation due to recurrent life‑threatening GI bleeding. What is a reasonable stroke prevention option?

Accepted Answer

Left atrial appendage occlusion

Answer

Aspirin monotherapy

Answer

Dual antiplatelet therapy long‑term

Answer

No therapy

Answer

Intermittent anticoagulation during perceived AF episodes

Practice question

A 66-year-old with AF and CHA₂DS₂‑VASc 5 has a contraindication to long‑term anticoagulation due to recurrent life‑threatening GI bleeding. What is a reasonable stroke prevention option?