Question

A 68-year-old man with hypertension and diabetes presents with new nonvalvular atrial fibrillation (CHA₂DS₂-VASc score 3). He has normal renal function and no history of bleeding. What is the best next step to reduce stroke risk?

Accepted Answer

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

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy until echocardiogram

Answer

Warfarin with heparin bridge

Answer

Dual antiplatelet therapy

Practice question

A 68-year-old man with hypertension and diabetes presents with new nonvalvular atrial fibrillation (CHA₂DS₂-VASc score 3). He has normal renal function and no history of bleeding. What is the best next step to reduce stroke risk?