A 68-year-old man presents with new-onset atrial fibrillation discovered incidentally on ECG. He has hypertension and type 2 diabetes mellitus but no ...

Question

A 68-year-old man presents with new-onset atrial fibrillation discovered incidentally on ECG. He has hypertension and type 2 diabetes mellitus but no heart failure, vascular disease or prior stroke. He is otherwise well and independent. What is the most appropriate antithrombotic strategy?

Accepted Answer

A direct oral anticoagulant at standard stroke-prevention dose

Answer

No antithrombotic therapy is required because he is asymptomatic

Answer

Acetylsalicylic acid alone

Answer

Dual antiplatelet therapy with acetylsalicylic acid and clopidogrel

Answer

Warfarin aiming for an international normalised ratio (INR) of 1.5 to 2.0

ca-mccqe1 MCQ (SBA): Atrial fibrillation stroke prevention

A 68-year-old man presents with new-onset atrial fibrillation discovered incidentally on ECG. He has hypertension and type 2 diabetes mellitus but no heart failure, vascular disease or prior stroke. He is otherwise well and independent. What is the most appropriate antithrombotic strategy?