Question

A 72-year-old with nonvalvular atrial fibrillation has a CHA₂DS₂-VASc score of 3 (hypertension, age 72). No prior bleeding. What is the guideline-concordant next step regarding stroke prevention?

Accepted Answer

Start oral anticoagulation because annual stroke risk ≥2% at this score

Answer

Defer anticoagulation; reassess in 12 months

Answer

Aspirin 81 mg daily instead of anticoagulation

Answer

Dual antiplatelet therapy for 6 months

Answer

No therapy if HAS-BLED ≥2

Practice question

A 72-year-old with nonvalvular atrial fibrillation has a CHA₂DS₂-VASc score of 3 (hypertension, age 72). No prior bleeding. What is the guideline-concordant next step regarding stroke prevention?