Question

A 70-year-old man with atrial fibrillation and hypertension lives in a remote community and struggles to attend regular INR checks. He is otherwise suitable for oral anticoagulation. What is the most appropriate strategy for stroke prevention?

Accepted Answer

Switch to a DOAC such as apixaban if renal function allows, with periodic monitoring coordinated via telehealth

Answer

Continue warfarin and accept infrequent INR monitoring

Answer

Cease anticoagulation entirely and use aspirin only

Answer

Switch to low-molecular-weight heparin injections indefinitely

Answer

No stroke prevention is necessary in remote settings

Practice question

A 70-year-old man with atrial fibrillation and hypertension lives in a remote community and struggles to attend regular INR checks. He is otherwise suitable for oral anticoagulation. What is the most appropriate strategy for stroke prevention?