Question

A 72-year-old with atrial fibrillation and prior GI bleed asks about antithrombotic therapy. CHA₂DS₂-VASc 4, HAS-BLED 3. What approach is appropriate?

Accepted Answer

Start apixaban with GI protection and address bleed risks

Answer

Stop anticoagulation permanently

Answer

Use aspirin only

Answer

Warfarin with target INR 1.5-2.0

Answer

Left atrial appendage occlusion immediately

Practice question

A 72-year-old with atrial fibrillation and prior GI bleed asks about antithrombotic therapy. CHA₂DS₂-VASc 4, HAS-BLED 3. What approach is appropriate?