Question

A 34-year-old man with nonvalvular AF and CHA₂DS₂-VASc = 1 (hypertension only) asks about stroke prevention. He has no bleeding risk factors. What is the recommended approach?

Accepted Answer

Consider no antithrombotic therapy after shared decision-making

Answer

Aspirin 81 mg daily

Answer

Start warfarin with target INR 2-3

Answer

Start apixaban 5 mg twice daily

Answer

Left atrial appendage occlusion

Practice question

A 34-year-old man with nonvalvular AF and CHA₂DS₂-VASc = 1 (hypertension only) asks about stroke prevention. He has no bleeding risk factors. What is the recommended approach?