Practice question

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A 72-year-old man with hypertension and type 2 diabetes presents with new-onset palpitations and breathlessness. ECG shows atrial fibrillation with a ventricular rate of 120 bpm. His CHA₂DS₂-VASc score is 3 (age, hypertension, diabetes). What is the most appropriate next step in long-term stroke prevention?

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