A 68-year-old with AF and CHA₂DS₂‑VASc 5 develops an ischemic stroke while on good-adherence apixaban. No LAA thrombus. What change is recommended?...

Question

A 68-year-old with AF and CHA₂DS₂‑VASc 5 develops an ischemic stroke while on good-adherence apixaban. No LAA thrombus. What change is recommended?

Accepted Answer

Continue anticoagulation and evaluate for competing mechanisms; routine switch not mandated

Answer

Switch from DOAC to warfarin immediately

Answer

Add aspirin to apixaban indefinitely

Answer

Stop anticoagulation

Answer

Left atrial appendage occlusion immediately

"cardiology" MCQ (SBA): ACC/AHA/ACCP/HRS Guideline (2023): Atrial Fibrillation