Would you favor stopping low-dose aspirin and continuing OAC alone in a patient with atrial fibrillation and mild coronary artery calcification seen on routine chest imaging?
Community PollStarted
Would you favor stopping low-dose aspirin and continuing OAC alone in a patient with atrial fibrillation and mild coronary artery calcification seen on routine chest imaging?
65 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet Member
Cardiology · Endeavor Health
Answered on
Absolutely, most of the patients that I would treat with dual-antithrombotics (as opposed to dual antiplatelet plus/minus anticoagulant), have had clinical events. Most commonly MI and/ or stent plus atrial fibrillation. Your patient has one clinical event (AF) and another "subclinical" condition.
Join for free or sign in to see the full answer
Mednet Member
Cardiology · South Carolina Cardiology Consultants
Answered on
You could go a step further and ask if you would be comfortable stopping low-dose aspirin in patients with mild coronary calcification alone. Prior guidelines recommended aspirin above 300 Angstrom units on "ca scoring". This was lowered to 100 currently.
Join for free or sign in to see the full answer