Question

A 76-year-old with AF (CHA₂DS₂‑VASc 5) has multiple GI bleeds despite optimization and has a strong contraindication to long‑term anticoagulation. What is the recommended strategy for stroke prevention?

Accepted Answer

Left atrial appendage occlusion

Answer

No therapy

Answer

Aspirin alone

Answer

Low-dose apixaban 2.5 mg bid

Answer

Clopidogrel monotherapy

Practice question

A 76-year-old with AF (CHA₂DS₂‑VASc 5) has multiple GI bleeds despite optimization and has a strong contraindication to long‑term anticoagulation. What is the recommended strategy for stroke prevention?