A 68-year-old man with hypertension presents with new-onset nonvalvular atrial fibrillation discovered on ECG. He has no valvular disease, no mechanic...

Question

A 68-year-old man with hypertension presents with new-onset nonvalvular atrial fibrillation discovered on ECG. He has no valvular disease, no mechanical valve, and an eGFR of 78 mL/min/1.73 m². CHA₂DS₂-VASc score is 2 (age 65-74 and hypertension). What is the most appropriate next step to reduce stroke risk?

Accepted Answer

Start apixaban now

Answer

Start warfarin with heparin bridging

Answer

No anticoagulation because his risk is low

Answer

Start aspirin alone

Answer

Plan left atrial appendage occlusion

us-abim MCQ (SBA): Atrial Fibrillation