Question

A 75-year-old woman with long-standing atrial fibrillation and type 2 diabetes has a CHA2DS2-VASc score of 4. She is not on anticoagulation. Which is the best recommendation for stroke prophylaxis?

Accepted Answer

Warfarin or a direct oral anticoagulant (DOAC)

Answer

No anticoagulation required

Answer

Aspirin 75 mg daily

Answer

Clopidogrel 75 mg daily

Answer

Dual antiplatelet therapy

Practice question

A 75-year-old woman with long-standing atrial fibrillation and type 2 diabetes has a CHA2DS2-VASc score of 4. She is not on anticoagulation. Which is the best recommendation for stroke prophylaxis?