Review Note
Last Update: 02/05/2025 08:20 AM
Current Deck: BPT QC
Published
Fields:
Front
An 86 year old patient is admitted to hospital with a chest infection. She has chronic atrial fibrillation with previous cardioembolic left middle cerebral infarct 12 months ago. Her medications include dabigatran 110mg BD. When medically stable her creatinine clearance is 20 ml/min. She functions independently at home, walks with a frame and had one fall 6 months ago.
What is the best option for her long term stroke prevention?
A. Change to aspirin
B. Change to clopidogrel
C. Change to warfarin
D. Continue dabigatran
E. No antiplatelet or anticoagulation therapy
Back
C. Change to warfarin
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Antiplatelet inappropriate for atrial fibrillation
Dabigatran contraindicated in CrCl < 30
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