A 70-year-old with NSTEMI on aspirin and clopidogrel develops melena. Hgb 7.8 g/dL. Endoscopy planned. Best initial antithrombotic action?...

Question

A 70-year-old with NSTEMI on aspirin and clopidogrel develops melena. Hgb 7.8 g/dL. Endoscopy planned. Best initial antithrombotic action?

Accepted Answer

Continue aspirin and hold clopidogrel until hemostasis achieved (if recent stent considered)

Answer

Stop all antiplatelets immediately and indefinitely

Answer

Continue both through endoscopy without discussion

Answer

Hold aspirin and continue clopidogrel

Answer

Start warfarin instead

us-abim MCQ (SBA): GI Bleed on DAPT