Question

A 70-year-old woman with persistent non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for review. Her CHA₂DS₂-VASc score is 4. She has no history of bleeding and normal renal function. What is the single most appropriate next step in her management?

Accepted Answer

Start a non-vitamin K oral anticoagulant

Answer

Start low-dose aspirin alone

Answer

Offer rate control only without antithrombotic therapy

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel

Answer

Start warfarin only if she develops heart failure

Practice question

A 70-year-old woman with persistent non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for review. Her CHA₂DS₂-VASc score is 4. She has no history of bleeding and normal renal function. What is the single most appropriate next step in her management?