Question

A 74-year-old man with permanent atrial fibrillation (AF), hypertension and a prior TIA presents for review. His CHA₂DS₂-VASc score is 5 and HAS-BLED is 2. What is the single most appropriate strategy for stroke prevention?

Accepted Answer

Apixaban at an appropriate dose adjusted for renal function

Answer

Aspirin 75 mg daily

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Answer

No antithrombotic therapy due to HAS-BLED 2

Answer

Warfarin with target INR 1.5-2.0

Practice question

A 74-year-old man with permanent atrial fibrillation (AF), hypertension and a prior TIA presents for review. His CHA₂DS₂-VASc score is 5 and HAS-BLED is 2. What is the single most appropriate strategy for stroke prevention?