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Would you offer anticoagulation to a patient with a history of SLE and coronary artery disease s/p remote history of CABG c/b CVA post-surgery, now with serologies showing APS triple positivity (aCL, B2GP1, LAC) and anti-histone without a history of arterial or venous thromboembolism?
Specific details from the case: Current symptoms are fatigue and arthralgia, and the patient is on ASA 325mg. No recurrence of CVA since 2013.