A 77-year-old man with CFS 4 and stable IHD on Aspirin for 15 years now develops non-valvular AF. CHA2DS2-VASc 4. What antithrombotic change is needed...

Question

A 77-year-old man with CFS 4 and stable IHD on Aspirin for 15 years now develops non-valvular AF. CHA2DS2-VASc 4. What antithrombotic change is needed?

Accepted Answer

Start DOAC and stop Aspirin - dual therapy increases bleeding without additional benefit in stable coronary disease beyond 12 months

Answer

Continue Aspirin alone

Answer

Add Clopidogrel instead of anticoagulation

Answer

Warfarin plus Aspirin

Answer

DOAC plus Aspirin

uk-dgm MCQ (SBA): DOAC Replaces Aspirin in Stable IHD with AF

A 77-year-old man with CFS 4 and stable IHD on Aspirin for 15 years now develops non-valvular AF. CHA2DS2-VASc 4. What antithrombotic change is needed?