Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (no valvular disease) presents for routine follow-up. CHA₂DS₂-VASc = 3. eGFR 78 mL/min/1.73 m². What is the most appropriate stroke-prevention strategy?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Start aspirin 81 mg daily only

Answer

No antithrombotic therapy is needed

Answer

Start warfarin with target INR 1.5-2.0

Answer

Start clopidogrel 75 mg daily only

Practice question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (no valvular disease) presents for routine follow-up. CHA₂DS₂-VASc = 3. eGFR 78 mL/min/1.73 m². What is the most appropriate stroke-prevention strategy?