Question

A 58-year-old with a first unprovoked PE completed 6 months of apixaban. He asks about aspirin instead of anticoagulation to prevent recurrence. What do guidelines suggest?

Accepted Answer

Continue extended anticoagulation if bleeding risk is not high

Answer

Switch to aspirin because efficacy equals anticoagulation

Answer

Discontinue all antithrombotic therapy

Answer

Switch to clopidogrel monotherapy

Answer

Use a temporary IVC filter

Practice question

A 58-year-old with a first unprovoked PE completed 6 months of apixaban. He asks about aspirin instead of anticoagulation to prevent recurrence. What do guidelines suggest?