Age: 80; Involved Grandfather; NVAF, Congestive Heart Failure, Hypertension, Diabetes
CHA2DS2-VASc score: 5; HAS-BLED score: 2
Although patient is suitable for warfarin, he is currently taking 15 mg rivaroxaban daily
Frank has a history of recurrent falls, resulting in both a broken hip and cerebral contusion after falling on separate occasions. His physician believes his medical condition places him at high risk of major bleeding secondary to trauma*
Frank's physician determined he is a potential candidate for a WATCHMAN Implant
Case description for educational purposes; not a real patient case.
*Some studies of patients with a history of falls, or at risk for falls and head trauma, have shown that the benefits of anticoagulation therapy to reduce the risk of stroke outweigh the risk of major, life-threatening bleeding. An individualized benefit and risk assessment should be made in such patients2-4