Question

A 73-year-old man with paroxysmal atrial fibrillation has hypertension and diabetes (CHA2DS2-VASc = 3). He has normal renal function and no mechanical valves. What is the best strategy to prevent stroke?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant

Answer

Aspirin 81 mg daily

Answer

Clopidogrel monotherapy

Answer

Warfarin with target INR 1.5-2.0

Answer

No antithrombotic therapy

Practice question

A 73-year-old man with paroxysmal atrial fibrillation has hypertension and diabetes (CHA2DS2-VASc = 3). He has normal renal function and no mechanical valves. What is the best strategy to prevent stroke?