Question

A 54-year-old with atrial fibrillation and a history of rheumatic mitral stenosis (valve area 1.0 cm²) requires stroke prevention. Creatinine clearance is 65 mL/min. Best choice?

Accepted Answer

Warfarin with INR goal 2-3

Answer

Apixaban 5 mg twice daily

Answer

Dabigatran 150 mg twice daily

Answer

Rivaroxaban 20 mg daily

Answer

Edoxaban 60 mg daily

Practice question

A 54-year-old with atrial fibrillation and a history of rheumatic mitral stenosis (valve area 1.0 cm²) requires stroke prevention. Creatinine clearance is 65 mL/min. Best choice?