Question

A 68-year-old with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Creatinine clearance is 60 mL/min. Which strategy best reduces ischemic stroke risk?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

Clopidogrel 75 mg daily

Answer

Warfarin with INR goal 1.5-2.0

Answer

No antithrombotic therapy

Practice question

A 68-year-old with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Creatinine clearance is 60 mL/min. Which strategy best reduces ischemic stroke risk?