Question

A 76-year-old woman with non-valvular atrial fibrillation, hypertension and type 2 diabetes has a CHA₂DS₂-VA score of 3. Renal function is normal and there is no history of major bleeding. What is the most appropriate long-term strategy for stroke prevention?

Accepted Answer

A direct oral anticoagulant at standard stroke-prevention dose

Answer

Aspirin 100 mg daily alone

Answer

No antithrombotic treatment is required

Answer

Therapeutic low-molecular-weight heparin injections indefinitely

Answer

Oral warfarin aiming for INR 1.5-2.0

Practice question

A 76-year-old woman with non-valvular atrial fibrillation, hypertension and type 2 diabetes has a CHA₂DS₂-VA score of 3. Renal function is normal and there is no history of major bleeding. What is the most appropriate long-term strategy for stroke prevention?