Question

A 66-year-old with AF on warfarin (INR 2.3) asks whether switching to DOAC is appropriate. He has no mechanical valve or moderate-to-severe mitral stenosis, and CrCl 60 mL/min. Which is true?

Accepted Answer

DOACs are preferred over warfarin in eligible patients

Answer

DOACs are contraindicated

Answer

Aspirin is equivalent to DOACs

Answer

Warfarin is always better in elderly

Answer

Switching is unsafe

Practice question

A 66-year-old with AF on warfarin (INR 2.3) asks whether switching to DOAC is appropriate. He has no mechanical valve or moderate-to-severe mitral stenosis, and CrCl 60 mL/min. Which is true?