A 63-year-old with prior GI bleed and CAD presents with hematemesis. After endoscopic hemostasis, he asks about resuming clopidogrel used after stent ...

Question

A 63-year-old with prior GI bleed and CAD presents with hematemesis. After endoscopic hemostasis, he asks about resuming clopidogrel used after stent 8 months ago. Best approach?

Accepted Answer

Resume antiplatelet therapy in coordination with cardiology; minimize interruption and use PPI

Answer

Hold clopidogrel indefinitely

Answer

Resume DAPT immediately even if high-risk bleeding stigmata

Answer

Switch to warfarin

Answer

Replace with NSAIDs

us-abim MCQ (SBA): UGIB with Antiplatelets

A 63-year-old with prior GI bleed and CAD presents with hematemesis. After endoscopic hemostasis, he asks about resuming clopidogrel used after stent 8 months ago. Best approach?