A 72-year-old man with permanent atrial fibrillation, hypertension and prior ischaemic stroke has an eGFR of 40 mL/min/1.73 m². He is not on anticoagu...

Question

A 72-year-old man with permanent atrial fibrillation, hypertension and prior ischaemic stroke has an eGFR of 40 mL/min/1.73 m². He is not on anticoagulation. What is the MOST appropriate antithrombotic strategy?

Accepted Answer

Oral anticoagulation with a direct-acting oral anticoagulant at a renally adjusted dose

Answer

Aspirin 100 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Low molecular weight heparin indefinitely

Answer

No antithrombotic therapy as bleeding risk is high in the elderly

au-racp MCQ (SBA): Atrial fibrillation stroke prevention

A 72-year-old man with permanent atrial fibrillation, hypertension and prior ischaemic stroke has an eGFR of 40 mL/min/1.73 m². He is not on anticoagulation. What is the MOST appropriate antithrombotic strategy?