Question

A 70-year-old woman with non-valvular atrial fibrillation (CHA₂DS₂-VASc score 4, HAS-BLED score 2) is reviewed in clinic. She has no contraindications to anticoagulation and normal renal function. What is the most appropriate strategy for stroke prevention?

Accepted Answer

Start a direct oral anticoagulant such as Apixaban

Answer

Start Aspirin 75 mg daily alone

Answer

No antithrombotic treatment is needed

Answer

Start dual antiplatelet therapy with Aspirin and Clopidogrel

Answer

Prescribe low-dose low-molecular-weight Heparin indefinitely

Practice question

A 70-year-old woman with non-valvular atrial fibrillation (CHA₂DS₂-VASc score 4, HAS-BLED score 2) is reviewed in clinic. She has no contraindications to anticoagulation and normal renal function. What is the most appropriate strategy for stroke prevention?