Question

A 72-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes has a CHA₂DS₂‑VASc score of 3 (male). eGFR 70 mL/min/1.73 m². What is the recommended long-term stroke prevention strategy?

Accepted Answer

Direct oral anticoagulant therapy

Answer

No antithrombotic therapy given paroxysmal pattern

Answer

Aspirin 81 mg daily

Answer

Warfarin titrated to INR 2-3 in all cases

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Practice question

A 72-year-old with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes has a CHA₂DS₂‑VASc score of 3 (male). eGFR 70 mL/min/1.73 m². What is the recommended long-term stroke prevention strategy?