A 76-year-old woman with non-valvular atrial fibrillation presents for review. She has hypertension and a prior ischaemic stroke. Her CHA₂DS₂-VASc sco...

Question

A 76-year-old woman with non-valvular atrial fibrillation presents for review. She has hypertension and a prior ischaemic stroke. Her CHA₂DS₂-VASc score is 5. She is in rate-controlled atrial fibrillation on metoprolol, with no history of major bleeding or falls. Which option best reduces her risk of further stroke?

Accepted Answer

Apixaban in standard stroke-prevention dose

Answer

Aspirin 100 mg daily alone

Answer

Clopidogrel plus aspirin dual antiplatelet therapy

Answer

No antithrombotic therapy because of age

Answer

Low-dose warfarin targeting INR 1.5

au-amc MCQ (SBA): Atrial fibrillation