Question

A 72-year-old man with hypertension, diabetes, and paroxysmal atrial fibrillation (no valvular disease) has a CHA2DS2-VASc score of 3. What is the best next step for stroke prevention?

Accepted Answer

Initiate a direct oral anticoagulant

Answer

Start aspirin 81 mg daily

Answer

Begin rate control only and reassess in 6 months

Answer

No anticoagulation because episodes are paroxysmal

Answer

Left atrial appendage occlusion immediately

Practice question

A 72-year-old man with hypertension, diabetes, and paroxysmal atrial fibrillation (no valvular disease) has a CHA2DS2-VASc score of 3. What is the best next step for stroke prevention?