Question

A 61-year-old with nonvalvular AF and prior major GI bleed prefers to avoid long-term anticoagulation. What is an evidence-based alternative for stroke prevention when anticoagulation is unsuitable?

Accepted Answer

Left atrial appendage occlusion in selected patients

Answer

No therapy

Answer

Aspirin 81 mg

Answer

Dual antiplatelet therapy

Answer

Warfarin at lower INR target (1.5-2.0)

Practice question

A 61-year-old with nonvalvular AF and prior major GI bleed prefers to avoid long-term anticoagulation. What is an evidence-based alternative for stroke prevention when anticoagulation is unsuitable?