A 72-year-old with AF, CHA2DS2-VASc 5, previous GI bleeding 8 years ago now stable. How to reduce stroke risk?...

Question

A 72-year-old with AF, CHA2DS2-VASc 5, previous GI bleeding 8 years ago now stable. How to reduce stroke risk?

Accepted Answer

Start a DOAC; benefits exceed risks in high-risk AF

Answer

Aspirin 81 mg

Answer

Clopidogrel 75 mg

Answer

No therapy due to bleeding history

Answer

Warfarin with INR 1.0-1.5

us-usmle-step-2 MCQ (SBA): Atrial Fibrillation