A 63-year-old with AF and hypertension asks whether aspirin can replace anticoagulation to prevent stroke. CHA₂DS₂‑VASc is 3. What do guidelines advis...

Question

A 63-year-old with AF and hypertension asks whether aspirin can replace anticoagulation to prevent stroke. CHA₂DS₂‑VASc is 3. What do guidelines advise?

Accepted Answer

Anticoagulation is recommended; aspirin is not an alternative for stroke prevention in AF

Answer

Aspirin monotherapy is a reasonable alternative

Answer

Dual antiplatelet therapy equals anticoagulation

Answer

No therapy is needed because risk is low

Answer

Warfarin with INR 1.5-2.0 is adequate

us-abfm MCQ (SBA): AF-Antiplatelet vs Anticoagulation

A 63-year-old with AF and hypertension asks whether aspirin can replace anticoagulation to prevent stroke. CHA₂DS₂‑VASc is 3. What do guidelines advise?