A 67-year-old woman with long-standing hypertension and diabetes presents with new-onset atrial fibrillation of unknown duration. She is haemodynamica...

Question

A 67-year-old woman with long-standing hypertension and diabetes presents with new-onset atrial fibrillation of unknown duration. She is haemodynamically stable. Her comorbidities include hypertension and diabetes but no prior stroke or heart failure. According to contemporary Canadian recommendations, what is the most appropriate stroke prevention strategy?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant

Answer

No antithrombotic therapy is required because she is female

Answer

Aspirin 81 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Low-molecular-weight heparin for 7 days then no further therapy

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