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Atrial Fibrillation Risk Stratification — EECC MCQ

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HardCardiologyAtrial Fibrillation Risk StratificationEECC

A 59-year-old with AF (CHA₂DS₂-VASc 1 by sex alone in a woman; no other risk factors) asks about anticoagulation. How should her stroke prevention be addressed?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — No oral anticoagulation; reassess if risk factors develop

NICE NG196: In women, a CHA₂DS₂-VASc score of 1 due to sex alone does not warrant anticoagulation. A/B/D/E: Not indicated for this risk profile.

Reference: NICE NG196: Atrial fibrillation—diagnosis and management: https://www.nice.org.uk/guidance/ng196/chapter/recommendations