A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc=3) has normal valves and eGFR 50 mL/min/1.73 m²...

Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc=3) has normal valves and eGFR 50 mL/min/1.73 m². What is the most appropriate long-term strategy to reduce stroke risk?

Accepted Answer

Start a direct oral anticoagulant (e.g., apixaban) for stroke prevention

Answer

Begin low-dose aspirin daily

Answer

Start warfarin because of diabetes

Answer

No antithrombotic therapy is needed at this score

Answer

Dual antiplatelet therapy without anticoagulation

us-abim MCQ (SBA): Atrial Fibrillation

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc=3) has normal valves and eGFR 50 mL/min/1.73 m². What is the most appropriate long-term strategy to reduce stroke risk?