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Atrial Fibrillation — EECC MCQ

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HardCardiologyAtrial FibrillationEECC

A 72-year-old with hypertension and CKD G3 has no previous myocardial infarction, stroke, peripheral arterial disease or revascularisation. Which statement about aspirin is correct?

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

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Correct answer: C — Do not routinely start aspirin for primary prevention

Neither older age nor CKD alone creates a routine primary-prevention aspirin indication. Bleeding risk rises with age and renal impairment, so management centres on blood pressure, smoking, lipid lowering and disease-specific renal care. Antiplatelet therapy is used when a separate secondary-prevention or procedural indication exists.

Reference: https://www.nice.org.uk/guidance/ng238