Question

A 55-year-old man with unprovoked DVT completed 3 months of apixaban. He has chronic GI bleed risk (HAS-BLED 4). What is the best strategy?

Accepted Answer

Stop anticoagulation after 3 months

Answer

Indefinite full-dose therapy

Answer

Switch to aspirin monotherapy for secondary prevention

Answer

Place IVC filter and stop anticoagulation

Answer

Reduced-dose anticoagulation regardless of bleeding risk

Practice question

A 55-year-old man with unprovoked DVT completed 3 months of apixaban. He has chronic GI bleed risk (HAS-BLED 4). What is the best strategy?