A 68-year-old man with persistent atrial fibrillation and hypertension has a CHA₂DS₂‑VASc score of 2. He is concerned about the bleeding risk with ant...

Question

A 68-year-old man with persistent atrial fibrillation and hypertension has a CHA₂DS₂‑VASc score of 2. He is concerned about the bleeding risk with anticoagulation. Which general principle applies?

Accepted Answer

Stroke prevention benefit generally outweighs bleeding risk at CHA₂DS₂‑VASc ≥2 in men.

Answer

Bleeding risk always outweighs benefit.

Answer

Aspirin is equivalent to oral anticoagulation for stroke prevention.

Answer

Anticoagulate only if symptomatic.

Answer

Use an INR of 1.5-2.0 to reduce bleeding risk.

us-abfm MCQ (SBA): AF Risk-Benefit

A 68-year-old man with persistent atrial fibrillation and hypertension has a CHA₂DS₂‑VASc score of 2. He is concerned about the bleeding risk with anticoagulation. Which general principle applies?