Question

A 72-year-old man with paroxysmal atrial fibrillation (CHA2DS2-VASc score 3) and no contraindications asks about stroke prevention. What is the most appropriate option?

Accepted Answer

Direct oral anticoagulant (e.g., apixaban)

Answer

Aspirin 75 mg daily

Answer

Warfarin with target INR 2.0-2.5

Answer

No therapy due to paroxysmal pattern

Answer

Dual antiplatelet therapy

Practice question

A 72-year-old man with paroxysmal atrial fibrillation (CHA2DS2-VASc score 3) and no contraindications asks about stroke prevention. What is the most appropriate option?