Question

A 60-year-old woman with AF, CKD stage 3, CHA₂DS₂-VASc 4, and history of GI bleed 5 years ago asks about aspirin instead of anticoagulation. Best recommendation?

Accepted Answer

Recommend DOAC over aspirin for stroke prevention

Answer

Aspirin alone is acceptable

Answer

Dual antiplatelet therapy is equivalent

Answer

No therapy

Answer

Warfarin only if HAS-BLED ≤2

Practice question

A 60-year-old woman with AF, CKD stage 3, CHA₂DS₂-VASc 4, and history of GI bleed 5 years ago asks about aspirin instead of anticoagulation. Best recommendation?