Question

A 69-year-old with new nonvalvular atrial fibrillation has CHA₂DS₂-VASc score 3 (age 65-74, HTN, diabetes). TTE shows normal valves, LVEF 55%, eGFR 68 mL/min/1.73 m². What is the most appropriate next step?

Accepted Answer

Initiate a DOAC for stroke prevention

Answer

Aspirin 81 mg daily

Answer

No antithrombotic therapy given CHA₂DS₂-VASc <4

Answer

Initiate warfarin with target INR 2-3

Answer

Pacemaker placement

Practice question

A 69-year-old with new nonvalvular atrial fibrillation has CHA₂DS₂-VASc score 3 (age 65-74, HTN, diabetes). TTE shows normal valves, LVEF 55%, eGFR 68 mL/min/1.73 m². What is the most appropriate next step?