Question

A 68-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and type 2 diabetes has an estimated creatinine clearance of 75 mL/min and no history of valvular disease. CHA₂DS₂-VASc = 3. What is the most appropriate long-term stroke-prevention strategy?

Accepted Answer

Start a direct oral anticoagulant

Answer

Begin aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Left atrial appendage occlusion now

Answer

Warfarin with INR 2-3

Practice question

A 68-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and type 2 diabetes has an estimated creatinine clearance of 75 mL/min and no history of valvular disease. CHA₂DS₂-VASc = 3. What is the most appropriate long-term stroke-prevention strategy?