Question

A 66-year-old man with atrial fibrillation and a history of gastrointestinal bleeding asks about stroke prevention. He is at high risk for stroke and cannot tolerate oral anticoagulation. What is the best option?

Accepted Answer

Consider left atrial appendage (LAA) occlusion device

Answer

Aspirin only

Answer

Dual antiplatelet therapy (DAPT) long-term instead of oral anticoagulation

Answer

No therapy

Answer

Warfarin at an international normalized ratio (INR) of 1.5-2.0

Practice question

A 66-year-old man with atrial fibrillation and a history of gastrointestinal bleeding asks about stroke prevention. He is at high risk for stroke and cannot tolerate oral anticoagulation. What is the best option?