Question

A 68-year-old with paroxysmal atrial fibrillation has hypertension and type 2 diabetes (CHA2DS2-VASc = 3), normal renal function, and no valvular disease. What is the most appropriate antithrombotic strategy to reduce stroke risk?

Accepted Answer

Start apixaban 5 mg twice daily.

Answer

Start aspirin 81 mg daily.

Answer

No antithrombotic therapy needed.

Answer

Start warfarin targeting INR 1.5-2.0.

Answer

Start clopidogrel 75 mg daily.

Practice question

A 68-year-old with paroxysmal atrial fibrillation has hypertension and type 2 diabetes (CHA2DS2-VASc = 3), normal renal function, and no valvular disease. What is the most appropriate antithrombotic strategy to reduce stroke risk?