A 73-year-old with chronic AF (CHA2DS2-VASc 4) and eGFR 20 mL/min/1.73 m² (not on dialysis). Which anticoagulation statement aligns with guidance?...

Question

A 73-year-old with chronic AF (CHA2DS2-VASc 4) and eGFR 20 mL/min/1.73 m² (not on dialysis). Which anticoagulation statement aligns with guidance?

Accepted Answer

Warfarin or labeled-dose apixaban are reasonable; avoid other DOACs at this eGFR

Answer

Any DOAC at standard dose is acceptable

Answer

No anticoagulation with eGFR

Answer

Use dabigatran 150 mg BID

Answer

Low-dose aspirin alone is adequate

us-abim MCQ (SBA): AF Anticoagulation in CKD