Question

A 67-year-old with AF (rate controlled), prior GI bleed 5 years ago, HTN, HFpEF, and diabetes asks about stroke prevention. CHA₂DS₂-VASc = 4. Which approach is recommended?

Accepted Answer

DOAC-based oral anticoagulation

Answer

Aspirin 81 mg only

Answer

No therapy because of prior GI bleed

Answer

Dual antiplatelet therapy

Answer

Left atrial appendage occlusion as first-line

Practice question

A 67-year-old with AF (rate controlled), prior GI bleed 5 years ago, HTN, HFpEF, and diabetes asks about stroke prevention. CHA₂DS₂-VASc = 4. Which approach is recommended?