QuestionSBA
QuestionChoice
Although this patient has ana irregular rhythm, they do not require daily ECGs.
10028535
d
Daily ECG
QuestionChoice
This is correct. One of the main advantages of DOACs such as apixaban is that they do not require routine monitoring, as opposed to warfarin, which was previously more commonly used for anticoagulation in patients with AF.
10028532
a
No routine monitoring is required
QuestionChoice
The thrombin time has no role in monitoring the effectiveness of apixaban.
10028536
e
Thrombin time
QuestionChoice
This is not a routine blood test and is not indicated.
10028533
b
Apixaban levels
QuestionChoice
INR is used to monitor warfarin, an alternative but now less popular anticoagulant, primarily due to the monitoring that is required.
10028534
c
INR
Concept
Chapter
2693
6084
Anticoagulation
Topic
326
Medicine
18109
Case Presentation: An 88-year-old woman is diagnosed with non-valvular atrial fibrillation during an inpatient stay and is commenced on apixaban 2.5mg PO BD for stroke prophylaxis.


**PMH** Congestive cardiac failure, TIA, Hypertension

**DH** Amlodepine 5mg PO OD, Aspirin 75mg PO OD, Omeprazole 20mg PO OD, Ramipril 2.5mg PO OD

Question: Select the most appropriate monitoring option to assess the effectiveness of this treatment.
a