Question

A 70-year-old with atrial fibrillation and prior GI bleed (treated) has CHA2DS2-VASc 4 and HAS-BLED 3. What is advised?

Accepted Answer

Resume anticoagulation with bleeding risk mitigation

Answer

Avoid anticoagulation due to HAS-BLED 3

Answer

Aspirin only

Answer

Left atrial appendage occlusion as first-line in all

Answer

Warfarin preferred over DOAC in all GI bleed history

Practice question

A 70-year-old with atrial fibrillation and prior GI bleed (treated) has CHA2DS2-VASc 4 and HAS-BLED 3. What is advised?