Fast Five Quiz: Stroke Prevention in Atrial Fibrillation

Brian Silver, MD


September 10, 2019

Liver or renal disease is a known risk factor for bleeding in patients receiving anticoagulant therapy. Other risk factors for bleeding in anticoagulated patients include:

  • History of bleeding (the strongest predictive risk factor)

  • Age > 75 years

  • Cancer

  • Thrombocytopenia or aspirin use

  • Hypertension

  • Diabetes mellitus

  • Anemia

  • Prior stroke

  • Fall risk

  • Genetic predisposition

  • Supratherapeutic international normalized ratio (for warfarin)

The selection of an antithrombotic regimen for patients with AFib should balance the risk for stroke with the risk for bleeding. To learn more about selecting an antithrombotic regimen for patients with AFib, go here.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as: