Question

A 72-year-old with paroxysmal atrial fibrillation (AF), hypertension, and diabetes (CHA₂DS₂-VASc = 3) has normal renal function and no valvular disease. What is the most appropriate long-term stroke-prevention strategy?

Accepted Answer

Start a direct oral anticoagulant (e.g., apixaban)

Answer

Begin aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Left atrial appendage occlusion now

Answer

Switch to warfarin with INR 2-3

Practice question

A 72-year-old with paroxysmal atrial fibrillation (AF), hypertension, and diabetes (CHA₂DS₂-VASc = 3) has normal renal function and no valvular disease. What is the most appropriate long-term stroke-prevention strategy?