Question

A 65-year-old woman with atrial fibrillation and prior stroke is on warfarin. She presents with a major upper gastrointestinal haemorrhage requiring transfusion. After stabilisation and endoscopic therapy, when considering long-term anticoagulation, which option is most consistent with Canadian AF and stroke guidelines?

Accepted Answer

Restart anticoagulation after bleeding control, considering a DOAC and addressing bleeding risk factors

Answer

Permanently discontinue all anticoagulation

Answer

Switch to dual antiplatelet therapy as equivalent stroke prevention

Answer

Use low-dose aspirin alone

Answer

Avoid re-evaluating stroke risk

Practice question