Question

A 72-year-old man with long-standing atrial fibrillation on warfarin presents with melaena and Hb 78 g/L. After stabilisation and endoscopic therapy of a bleeding ulcer, when resuming anticoagulation for stroke prevention, which agent is preferred according to Canadian stroke and AF guidance?

Accepted Answer

Resume oral anticoagulation, preferably a DOAC, once bleeding risk is controlled

Answer

Continue without any anticoagulation

Answer

Switch to aspirin alone

Answer

Use low-dose low-molecular-weight heparin indefinitely

Answer

Avoid all antithrombotic therapy permanently

Practice question

A 72-year-old man with long-standing atrial fibrillation on warfarin presents with melaena and Hb 78 g/L. After stabilisation and endoscopic therapy of a bleeding ulcer, when resuming anticoagulation for stroke prevention, which agent is preferred according to Canadian stroke and AF guidance?