Question

A 64-year-old man with atrial fibrillation (nonvalvular), hypertension, and diabetes. CHA₂DS₂‑VASc score is 2. No bleeding history. Best recommendation regarding stroke prevention?

Accepted Answer

Initiate oral anticoagulation with a DOAC

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy needed

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Answer

Left atrial appendage occlusion as first-line

Practice question

A 64-year-old man with atrial fibrillation (nonvalvular), hypertension, and diabetes. CHA₂DS₂‑VASc score is 2. No bleeding history. Best recommendation regarding stroke prevention?