Question

A 68-year-old man with nonvalvular atrial fibrillation has hypertension and diabetes (CHA2DS2-VASc = 3). He has no bleeding history and normal renal function. What is the most appropriate next step?

Accepted Answer

Begin apixaban 5 mg twice daily

Answer

Start aspirin 81 mg daily

Answer

No therapy; reassess in 6 months

Answer

Start dual antiplatelet therapy

Answer

Initiate warfarin with INR goal 1.5-2.0

Practice question

A 68-year-old man with nonvalvular atrial fibrillation has hypertension and diabetes (CHA2DS2-VASc = 3). He has no bleeding history and normal renal function. What is the most appropriate next step?