Question

A 78-year-old man with hypertension, diabetes and prior TIA has non-valvular atrial fibrillation (CHA2DS2-VASc=5, HAS-BLED=2, eGFR 58 mL/min/1.73m²). What is the most appropriate strategy for stroke prevention?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 75 mg daily

Answer

No anticoagulation but annual review

Answer

Clopidogrel 75 mg daily

Answer

Warfarin with target INR 2.0-2.5

Practice question

A 78-year-old man with hypertension, diabetes and prior TIA has non-valvular atrial fibrillation (CHA2DS2-VASc=5, HAS-BLED=2, eGFR 58 mL/min/1.73m²). What is the most appropriate strategy for stroke prevention?