Question

A 68-year-old man with permanent atrial fibrillation has hypertension and type 2 diabetes mellitus. He has no history of bleeding or valvular disease. His CHA2DS2-VASc score is 3 and HAS-BLED score is 2. According to NICE guidance, what is the most appropriate strategy for stroke prevention?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 75 mg once daily alone

Answer

Warfarin titrated to an INR of 3.5

Answer

Clopidogrel 75 mg once daily

Answer

No antithrombotic therapy required

Practice question

A 68-year-old man with permanent atrial fibrillation has hypertension and type 2 diabetes mellitus. He has no history of bleeding or valvular disease. His CHA2DS2-VASc score is 3 and HAS-BLED score is 2. According to NICE guidance, what is the most appropriate strategy for stroke prevention?