Question

A 71-year-old man with chronic atrial fibrillation, hypertension and prior transient ischaemic attack (TIA) is reviewed in general practice. His eGFR is 65 mL/min/1.73 m² and he is not currently anticoagulated. According to contemporary stroke prevention guidelines, what is the most appropriate antithrombotic strategy?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant at stroke-prevention dose

Answer

No antithrombotic therapy is required

Answer

Aspirin 100 mg daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Warfarin with target INR 1.5-2.0

Practice question