A 76-year-old on apixaban for AF has an upper GI bleed controlled endoscopically. He had prior stent for ACS 2 years ago and remains on aspirin. When ...

Question

A 76-year-old on apixaban for AF has an upper GI bleed controlled endoscopically. He had prior stent for ACS 2 years ago and remains on aspirin. When restarting antithrombotics, which principle is correct?

Accepted Answer

Resume anticoagulation after hemostasis given AF stroke risk; use PPI and reassess aspirin indication

Answer

Avoid restarting apixaban in all GI bleeds

Answer

Resume both agents immediately within 12 hours

Answer

Continue aspirin only; stop anticoagulation indefinitely

Answer

Switch to warfarin for lower GI bleed risk

us-abim MCQ (SBA): Antithrombotic Resumption After GI Bleed

A 76-year-old on apixaban for AF has an upper GI bleed controlled endoscopically. He had prior stent for ACS 2 years ago and remains on aspirin. When restarting antithrombotics, which principle is correct?