Question

A 72‑year‑old woman with AF and prior GI bleed now controlled asks if aspirin can replace anticoagulation. CHA₂DS₂‑VASc 5. Best counsel?

Accepted Answer

Oral anticoagulation provides superior stroke prevention to antiplatelets

Answer

Aspirin is an adequate alternative to anticoagulation

Answer

Clopidogrel equals anticoagulation

Answer

No antithrombotic is needed with rate control

Answer

Warfarin only if CHA₂DS₂‑VASc ≥6

Practice question

A 72‑year‑old woman with AF and prior GI bleed now controlled asks if aspirin can replace anticoagulation. CHA₂DS₂‑VASc 5. Best counsel?