Question

A 71-year-old man with severe PAD and prior revascularization has no AF. He is on rivaroxaban 2.5 mg BID + aspirin. He develops GI bleeding; therapy is held and bleed controlled. What antithrombotic plan on discharge?

Accepted Answer

Aspirin alone if bleeding risk now high

Answer

Restart dual pathway therapy immediately regardless of bleeding risk

Answer

Switch to full-dose rivaroxaban monotherapy

Answer

Clopidogrel monotherapy only

Answer

No antithrombotics ever again

Practice question

A 71-year-old man with severe PAD and prior revascularization has no AF. He is on rivaroxaban 2.5 mg BID + aspirin. He develops GI bleeding; therapy is held and bleed controlled. What antithrombotic plan on discharge?