Question

A 68-year-old man with paroxysmal atrial fibrillation has hypertension and diabetes (no prior stroke/TIA, CHF, vascular disease, or age ≥75). CHA₂DS₂-VASc score is 2. Which is the most appropriate antithrombotic strategy for stroke prevention?

Accepted Answer

Start apixaban 5 mg orally twice daily

Answer

Aspirin 81 mg daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Percutaneous left atrial appendage occlusion

Answer

No antithrombotic therapy

Practice question

A 68-year-old man with paroxysmal atrial fibrillation has hypertension and diabetes (no prior stroke/TIA, CHF, vascular disease, or age ≥75). CHA₂DS₂-VASc score is 2. Which is the most appropriate antithrombotic strategy for stroke prevention?