Question

A 72-year-old with nonvalvular AF asks about stroke prevention with LAAO vs OAC. He refuses all OAC but has high stroke risk. Which is reasonable?

Accepted Answer

LAAO is reasonable in patients with contraindication to long-term OAC

Answer

No role for LAAO in AF

Answer

Dual antiplatelets equal OAC

Answer

Warfarin at INR 1.5-2.0 is acceptable alternative

Answer

No therapy is needed if physically active

Practice question

A 72-year-old with nonvalvular AF asks about stroke prevention with LAAO vs OAC. He refuses all OAC but has high stroke risk. Which is reasonable?