A 66-year-old with atrial fibrillation on DOAC has ischemic stroke while therapeutic. Next step for secondary prevention per 2021 guideline?...

Question

A 66-year-old with atrial fibrillation on DOAC has ischemic stroke while therapeutic. Next step for secondary prevention per 2021 guideline?

Accepted Answer

Evaluate for medication adherence/drug interactions and consider switching DOAC or left atrial appendage closure

Answer

Switch to warfarin immediately

Answer

Add dual antiplatelet therapy indefinitely

Answer

Stop anticoagulation

Answer

Increase DOAC dose beyond label

us-abim MCQ (SBA): Stroke on Anticoagulation