Question

A 68-year-old with paroxysmal atrial fibrillation and a bileaflet mechanical aortic valve asks about anticoagulation. Renal function is normal. Which long-term agent is indicated?

Accepted Answer

Warfarin with INR goal per valve type

Answer

Apixaban 5 mg twice daily

Answer

Rivaroxaban 20 mg nightly

Answer

Dabigatran 150 mg twice daily

Answer

No anticoagulation required if rate controlled

Practice question

A 68-year-old with paroxysmal atrial fibrillation and a bileaflet mechanical aortic valve asks about anticoagulation. Renal function is normal. Which long-term agent is indicated?