Question

A 72-year-old man with hypertension and type 2 diabetes presents with new-onset atrial fibrillation (AF). His CHA2DS2-VASc score is 3 and HAS-BLED is 2. What is the most appropriate next step in stroke prevention?

Accepted Answer

Start a DOAC (e.g., apixaban) for anticoagulation

Answer

Start aspirin 75 mg daily

Answer

No anticoagulation; review in 6 months

Answer

Start clopidogrel 75 mg daily

Answer

Start warfarin only if echocardiogram shows left atrial thrombus

Practice question

A 72-year-old man with hypertension and type 2 diabetes presents with new-onset atrial fibrillation (AF). His CHA2DS2-VASc score is 3 and HAS-BLED is 2. What is the most appropriate next step in stroke prevention?