Question

A 74-year-old man with nonvalvular atrial fibrillation has CHA₂DS₂-VASc score of 3 (age ≥75=2, HTN=1). He has no mechanical valve or moderate-to-severe mitral stenosis. What is the best next step?

Accepted Answer

Start a direct oral anticoagulant

Answer

No antithrombotic therapy is needed

Answer

Start aspirin 81 mg daily

Answer

Start warfarin with heparin bridge

Answer

Rhythm control with amiodarone only

Practice question

A 74-year-old man with nonvalvular atrial fibrillation has CHA₂DS₂-VASc score of 3 (age ≥75=2, HTN=1). He has no mechanical valve or moderate-to-severe mitral stenosis. What is the best next step?