A 58-year-old man presents with palpitations and mild dyspnoea. ECG shows atrial fibrillation with a ventricular rate of 130 beats/min. He has hyperte...

Question

A 58-year-old man presents with palpitations and mild dyspnoea. ECG shows atrial fibrillation with a ventricular rate of 130 beats/min. He has hypertension and type 2 diabetes but no heart failure or valvular disease. CHA₂DS₂-VASc score is 2. What is the most appropriate strategy to reduce his risk of stroke?

Accepted Answer

Start a non-vitamin K oral anticoagulant (NOAC) at standard dose

Answer

No antithrombotic therapy is required because he is male and under 65

Answer

Start aspirin 100 mg daily

Answer

Start warfarin aiming for INR 1.5-2.0

Answer

Prescribe clopidogrel 75 mg daily

au-amc MCQ (SBA): Atrial fibrillation stroke prevention