A 75-year-old woman with AF and prior GI bleed now has CHA₂DS₂-VASc 5 and HAS‑BLED 2. Best approach to stroke prevention?...

Question

A 75-year-old woman with AF and prior GI bleed now has CHA₂DS₂-VASc 5 and HAS‑BLED 2. Best approach to stroke prevention?

Accepted Answer

Resume anticoagulation with a DOAC after addressing bleed source

Answer

No anticoagulation due to prior GI bleed

Answer

Aspirin 81 mg daily

Answer

Warfarin with INR 1.5-2.0

Answer

Left atrial appendage ligation as first-line in all

us-abim MCQ (SBA): AF-Bleeding Considerations