A 72-year-old woman presents with palpitations. ECG shows atrial fibrillation with a ventricular rate of 110 bpm. She has hypertension and type 2 diab...

Question

A 72-year-old woman presents with palpitations. ECG shows atrial fibrillation with a ventricular rate of 110 bpm. She has hypertension and type 2 diabetes but no history of stroke, heart failure or vascular disease. Her CHA2DS2-VASc score is 3. What is the most appropriate stroke prevention strategy?

Accepted Answer

Start a direct oral anticoagulant

Answer

No anticoagulation is required as her risk is low

Answer

Start aspirin 75 mg daily

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel

Answer

Refer for left atrial appendage occlusion

uk-plab-1 MCQ (SBA): Atrial fibrillation – stroke prevention