Question

A 74-year-old woman known to have atrial fibrillation presents for review. Her CHA₂DS₂-VASc score is 4. She has no contraindications to anticoagulation. What is the most appropriate management regarding stroke prevention?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant

Answer

No antithrombotic therapy is required

Answer

Aspirin 75 mg daily

Answer

Dual antiplatelet therapy with Aspirin and Clopidogrel

Answer

Warfarin with a target INR of 1.5–2.0

Practice question

A 74-year-old woman known to have atrial fibrillation presents for review. Her CHA₂DS₂-VASc score is 4. She has no contraindications to anticoagulation. What is the most appropriate management regarding stroke prevention?