AF Borderline Stroke Risk — EECC MCQ

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ModerateCardiologyAF Borderline Stroke RiskEECC

A 68-year-old man with atrial fibrillation has a CHA2DS2-VASc score of 1 (hypertension only). What is the recommendation?

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Correct answer: C — Reasonable to consider oral anticoagulant after shared decision-making

Explanation lettering: E = shown as A · C = shown as B · B = shown as C · A = shown as D · D = shown as E

In men with a CHA2DS2-VASc score of 1, anticoagulation may be considered after individualized risk discussion. Options A, D, and E are not recommended. Option C is less preferred as direct oral anticoagulants (DOACs) are generally preferred over warfarin if anticoagulation is chosen.

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