Question

A 67-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes (CHA₂DS₂-VASc=3), normal renal function (eGFR 78 mL/min/1.73 m²), and no mechanical valve asks about stroke prevention. What is the most appropriate long-term therapy?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Warfarin with INR goal 2.0-3.0

Answer

Left atrial appendage occlusion now

Practice question

A 67-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes (CHA₂DS₂-VASc=3), normal renal function (eGFR 78 mL/min/1.73 m²), and no mechanical valve asks about stroke prevention. What is the most appropriate long-term therapy?