A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂‑VASc score of 3. He has no history of valvular ...

Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂‑VASc score of 3. He has no history of valvular disease, creatinine clearance is 75 mL/min, and there is no liver disease. What is the most appropriate antithrombotic strategy?

Accepted Answer

Apixaban 5 mg twice daily

Answer

No antithrombotic therapy

Answer

Aspirin 81 mg daily

Answer

Warfarin with target INR 2-3

Answer

Clopidogrel 75 mg daily

us-abim MCQ (SBA): Atrial Fibrillation

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂‑VASc score of 3. He has no history of valvular disease, creatinine clearance is 75 mL/min, and there is no liver disease. What is the most appropriate antithrombotic strategy?