A 62-year-old man with AF on apixaban presents with melena. Endoscopy shows a high-risk ulcer treated with hemostasis. When should anticoagulation gen...

Question

A 62-year-old man with AF on apixaban presents with melena. Endoscopy shows a high-risk ulcer treated with hemostasis. When should anticoagulation generally be resumed?

Accepted Answer

Resume within 7 days after hemostasis once stable

Answer

Never resume due to bleeding risk

Answer

Delay at least 30 days

Answer

Switch to dual antiplatelet therapy instead

Answer

Resume the next day regardless of risk

us-abim MCQ (SBA): Anticoagulation Resumption after GI Bleed

A 62-year-old man with AF on apixaban presents with melena. Endoscopy shows a high-risk ulcer treated with hemostasis. When should anticoagulation generally be resumed?