A 59-year-old man with nonvalvular AF has CHA₂DS₂‑VASc=2 and HAS-BLED=3. He asks if bleeding risk score means no anticoagulation. Best response?...

Question

A 59-year-old man with nonvalvular AF has CHA₂DS₂‑VASc=2 and HAS-BLED=3. He asks if bleeding risk score means no anticoagulation. Best response?

Accepted Answer

HAS-BLED guides modifiable risk mitigation; anticoagulation remains indicated

Answer

High HAS-BLED precludes anticoagulation

Answer

Switch to dual antiplatelet therapy

Answer

Use lower INR target 1.5-2.0 with warfarin

Answer

Delay therapy for 3 months

us-abim MCQ (SBA): Bleeding Risk and Anticoagulation