A 72-year-old man with hypertension, heart failure with reduced ejection fraction, and type 2 diabetes presents with new-onset atrial fibrillation. Hi...

Question

A 72-year-old man with hypertension, heart failure with reduced ejection fraction, and type 2 diabetes presents with new-onset atrial fibrillation. His CHA2DS2-VASc score is 3. He is hemodynamically stable and has normal renal function. What is the most appropriate next step in long-term stroke prevention?

Accepted Answer

Start a direct oral anticoagulant at guideline-recommended dose

Answer

Start aspirin 81 mg daily

Answer

Start warfarin with target INR 1.5-2.0

Answer

No antithrombotic therapy is needed

Answer

Use dual antiplatelet therapy instead of anticoagulation

us-abim MCQ (SBA): Atrial Fibrillation