A 70-year-old man with hypertension and type 2 diabetes has been diagnosed with nonvalvular atrial fibrillation. His CHA2DS2-VASc score is 3. He has s...

Question

A 70-year-old man with hypertension and type 2 diabetes has been diagnosed with nonvalvular atrial fibrillation. His CHA2DS2-VASc score is 3. He has stage 4 chronic kidney disease with eGFR 20 mL/min/1.73 m2 and no mechanical valves. Which is the most appropriate anticoagulation strategy for stroke prevention?

Accepted Answer

Full-dose low molecular weight heparin indefinitely

Answer

Aspirin 81 mg daily only

Answer

No anticoagulation because of age and CKD

Answer

Warfarin with INR target 2.0-3.0

Answer

High-dose DOAC not adjusted for renal function

us-abim MCQ (SBA): Atrial Fibrillation in CKD