Question

A 72-year-old man with non-valvular atrial fibrillation, hypertension, and no prior stroke or transient ischaemic attack presents for stroke prevention counselling. According to the CCS atrial fibrillation guideline and the CHADS-65 approach, which option is most appropriate for stroke prevention?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant (DOAC)

Answer

No antithrombotic therapy is required

Answer

Aspirin 81 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Clopidogrel alone

Practice question

A 72-year-old man with non-valvular atrial fibrillation, hypertension, and no prior stroke or transient ischaemic attack presents for stroke prevention counselling. According to the CCS atrial fibrillation guideline and the CHADS-65 approach, which option is most appropriate for stroke prevention?