Question

A 68-year-old man with new nonvalvular atrial fibrillation (AF), hypertension, and diabetes (CHA2DS2-VASc = 2) has normal renal function. What is the best next step?

Accepted Answer

Start a direct oral anticoagulant (e.g., apixaban)

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy needed

Answer

Start warfarin only if AF persists >48 hours

Answer

Rate control alone without anticoagulation

Practice question

A 68-year-old man with new nonvalvular atrial fibrillation (AF), hypertension, and diabetes (CHA2DS2-VASc = 2) has normal renal function. What is the best next step?