Question

A 65-year-old with paroxysmal AF (CHA₂DS₂‑VASc 1 for age 65-74; no other factors) is reluctant to take anticoagulation. What do current guidelines suggest?

Accepted Answer

Anticoagulation may be reasonable based on individualized risk discussion; recommend OAC if net benefit

Answer

No role for stroke prevention at this score

Answer

Aspirin 81 mg is preferred

Answer

Dual antiplatelet therapy as an alternative to OAC

Answer

Left atrial appendage occlusion now

Practice question

A 65-year-old with paroxysmal AF (CHA₂DS₂‑VASc 1 for age 65-74; no other factors) is reluctant to take anticoagulation. What do current guidelines suggest?