Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA2DS2-VASc = 3) has normal renal function and no valvular disease. What is the preferred strategy for stroke prevention?

Accepted Answer

Apixaban 5 mg twice daily

Answer

No antithrombotic therapy needed because AF is paroxysmal

Answer

Aspirin 81 mg daily

Answer

Warfarin with heparin bridging until INR 2-3

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Practice question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA2DS2-VASc = 3) has normal renal function and no valvular disease. What is the preferred strategy for stroke prevention?