Question

A 72-year-old man with nonvalvular atrial fibrillation (paroxysmal) has hypertension and diabetes (CHA2DS2-VASc = 3). Creatinine clearance is 60 mL/min. What is the most appropriate next step for stroke prevention?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Warfarin with target INR 1.5-2.0

Answer

Left atrial appendage occlusion now

Practice question

A 72-year-old man with nonvalvular atrial fibrillation (paroxysmal) has hypertension and diabetes (CHA2DS2-VASc = 3). Creatinine clearance is 60 mL/min. What is the most appropriate next step for stroke prevention?