Question

A 72-year-old man with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 3 (age, hypertension and heart failure). He has no contraindications to anticoagulation. What is the single most appropriate long-term management to reduce his stroke risk?

Accepted Answer

Start a direct-acting oral anticoagulant such as Apixaban

Answer

Give Aspirin 75 mg daily instead of anticoagulation

Answer

No anticoagulation is needed because his score is below 4

Answer

Insert a permanent pacemaker only

Answer

Start dual antiplatelet therapy with Aspirin and Clopidogrel

Practice question

A 72-year-old man with non-valvular atrial fibrillation has a CHA2DS2-VASc score of 3 (age, hypertension and heart failure). He has no contraindications to anticoagulation. What is the single most appropriate long-term management to reduce his stroke risk?