Question

A 74-year-old man with non-valvular atrial fibrillation, hypertension, diabetes, a prior ischaemic stroke and normal renal function is seen in clinic. According to the CHA2DS2-VASc tool and Canadian guidance, what is the most appropriate stroke prevention strategy?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant

Answer

No antithrombotic therapy is required

Answer

Acetylsalicylic acid 81 mg daily alone

Answer

Dual antiplatelet therapy with acetylsalicylic acid and clopidogrel

Answer

Oral anticoagulation with warfarin and target INR 1.5-2.0

Practice question

A 74-year-old man with non-valvular atrial fibrillation, hypertension, diabetes, a prior ischaemic stroke and normal renal function is seen in clinic. According to the CHA2DS2-VASc tool and Canadian guidance, what is the most appropriate stroke prevention strategy?