Question

A 78-year-old woman with non-valvular atrial fibrillation, hypertension and type 2 diabetes has a CHA₂DS₂-VASc score of 4. She has normal renal function and no history of bleeding. What is the most appropriate recommendation regarding stroke prevention?

Accepted Answer

Commence long-term oral anticoagulation with a direct oral anticoagulant

Answer

No anticoagulation is required because she is in rate-controlled AF

Answer

Aspirin alone is recommended for stroke prevention

Answer

Short-course low molecular weight heparin for 6 weeks only

Answer

Anti-platelet plus full-dose warfarin combination therapy

Practice question

A 78-year-old woman with non-valvular atrial fibrillation, hypertension and type 2 diabetes has a CHA₂DS₂-VASc score of 4. She has normal renal function and no history of bleeding. What is the most appropriate recommendation regarding stroke prevention?