Question

A 72-year-old woman with type 2 diabetes and hypertension presents with a new diagnosis of atrial fibrillation. Her CHA2DS2-VASc score is 4. She has no history of bleeding disorders. According to NICE guidelines, what is the most appropriate anticoagulation?

Accepted Answer

Apixaban 5mg BD

Answer

Aspirin 75mg OD

Answer

Warfarin (target INR 2.0-3.0)

Answer

Clopidogrel 75mg OD

Answer

No anticoagulation needed

Practice question

A 72-year-old woman with type 2 diabetes and hypertension presents with a new diagnosis of atrial fibrillation. Her CHA2DS2-VASc score is 4. She has no history of bleeding disorders. According to NICE guidelines, what is the most appropriate anticoagulation?