A 34-year-old woman presents with episodic palpitations and is found to have non-valvular atrial fibrillation. She has hypertension but no heart failu...

Question

A 34-year-old woman presents with episodic palpitations and is found to have non-valvular atrial fibrillation. She has hypertension but no heart failure, diabetes, prior stroke or TIA, or vascular disease. According to Canadian AF guidance using a CHADS-65 approach, what is the most appropriate stroke prevention strategy?

Accepted Answer

Start oral anticoagulation with a direct oral anticoagulant

Answer

No antithrombotic therapy is required as she is under 65 years of age

Answer

Start aspirin 81 mg daily

Answer

Start warfarin with a target INR of 1.5-2.0

Answer

Offer dual antiplatelet therapy with aspirin and clopidogrel

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