Question

A 78-year-old woman presents with new-onset atrial fibrillation, rate 130 bpm. She has hypertension and heart failure but is haemodynamically stable. CHA2DS2-VASc score is 4. What is the most appropriate long-term stroke prevention strategy?

Accepted Answer

Start a direct oral anticoagulant such as Apixaban

Answer

No anticoagulation because of age-related bleeding risk

Answer

Aspirin alone

Answer

Clopidogrel alone

Answer

Low-dose low-molecular-weight Heparin indefinitely

Practice question

A 78-year-old woman presents with new-onset atrial fibrillation, rate 130 bpm. She has hypertension and heart failure but is haemodynamically stable. CHA2DS2-VASc score is 4. What is the most appropriate long-term stroke prevention strategy?