Question

A hemodynamically stable 58-year-old with first unprovoked proximal DVT, normal renal function, and no cancer asks about duration of anticoagulation. Best recommendation?

Accepted Answer

Treat for at least 3 months and consider extended therapy if bleeding risk is low

Answer

Stop anticoagulation after 6 weeks

Answer

Treat for 3 months, then stop regardless of risk

Answer

Treat for 3 months only if D-dimer normal

Answer

Indefinite warfarin with target INR 1.5-2.0

Practice question

A hemodynamically stable 58-year-old with first unprovoked proximal DVT, normal renal function, and no cancer asks about duration of anticoagulation. Best recommendation?