A 68-year-old man with new-onset atrial fibrillation, hypertension, and diabetes has a CHA₂DS₂-VASc score of 3. He worries about bleeding with anticoa...

Question

A 68-year-old man with new-onset atrial fibrillation, hypertension, and diabetes has a CHA₂DS₂-VASc score of 3. He worries about bleeding with anticoagulation. According to shared decision-making principles, what is the best way to proceed?

Accepted Answer

Use decision aids and explain absolute risks and benefits of anticoagulation versus no treatment, and explore his values before deciding together

Answer

Tell him he must start anticoagulation without discussion

Answer

Avoid discussing stroke risk to reduce anxiety

Answer

Let him decide solely based on internet searches

Answer

Offer aspirin instead of anticoagulation to appease him

ca-mccqe1 MCQ (SBA): Shared decision-making in AF anticoagulation

A 68-year-old man with new-onset atrial fibrillation, hypertension, and diabetes has a CHA₂DS₂-VASc score of 3. He worries about bleeding with anticoagulation. According to shared decision-making principles, what is the best way to proceed?