Question

A 72‑year‑old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA₂DS₂‑VASc = 3) presents for management. Renal function is normal. What is the best strategy to reduce stroke risk?

Accepted Answer

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

Answer

Aspirin 81 mg daily alone

Answer

No therapy because AF is paroxysmal

Answer

Left atrial appendage occlusion now

Answer

Warfarin with goal INR 1.5-2.0

Practice question

A 72‑year‑old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA₂DS₂‑VASc = 3) presents for management. Renal function is normal. What is the best strategy to reduce stroke risk?