Question

A 72-year-old with severe aortic stenosis and nonvalvular AF on warfarin (INR goal 2-3) asks about switching to a DOAC. Renal function is normal. Is a DOAC appropriate?

Accepted Answer

Yes-DOAC preferred over warfarin in nonvalvular AF including aortic stenosis

Answer

No-any valvular disease requires warfarin

Answer

Yes-but only dabigatran

Answer

No-switch only if INR unstable

Answer

No-age >70 precludes DOAC

Practice question

A 72-year-old with severe aortic stenosis and nonvalvular AF on warfarin (INR goal 2-3) asks about switching to a DOAC. Renal function is normal. Is a DOAC appropriate?