Question

A 72-year-old man with newly diagnosed non-valvular atrial fibrillation attends clinic. He has hypertension and type 2 diabetes mellitus but no previous stroke or bleeding history. His CHA2DS2-VASc score is 3. What is the most appropriate strategy to reduce his stroke risk?

Accepted Answer

Start a direct oral anticoagulant such as apixaban

Answer

No antithrombotic therapy is required

Answer

Aspirin 75 mg once daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Warfarin only if he later has a transient ischaemic attack

Practice question

A 72-year-old man with newly diagnosed non-valvular atrial fibrillation attends clinic. He has hypertension and type 2 diabetes mellitus but no previous stroke or bleeding history. His CHA2DS2-VASc score is 3. What is the most appropriate strategy to reduce his stroke risk?