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AF anticoagulation — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsAF anticoagulationGPhC CRA

A 76-year-old man with atrial fibrillation, hypertension and no contraindication to anticoagulation asks why aspirin has not been prescribed for stroke prevention. His renal function is adequate. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — A direct oral anticoagulant is usually preferred for stroke prevention

Atrial fibrillation stroke prevention is based on thromboembolic risk, and this patient has risk factors that support anticoagulation. Aspirin is not an appropriate substitute for anticoagulation in this setting. A DOAC is commonly used unless contraindicated or unsuitable.

Reference: NICE CKS; BNF