A 74-year-old man presents to the emergency department with palpitations and is found to have atrial fibrillation with a ventricular rate of 110 beats...

Question

A 74-year-old man presents to the emergency department with palpitations and is found to have atrial fibrillation with a ventricular rate of 110 beats/min. He is haemodynamically stable, with no heart failure or ischaemic symptoms. According to the CHADS-65-based approach endorsed in Canadian AF guidelines, which factor alone would clearly indicate long-term oral anticoagulation?

Accepted Answer

Age 66 years with no other risk factors

Answer

Male sex

Answer

Hypertension controlled on medication

Answer

Paroxysmal rather than persistent atrial fibrillation

Answer

Well-controlled dyslipidaemia

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