A 72-year-old man with hypertension is found to have atrial fibrillation with ventricular rate 86/min. He has no valvular stenosis, bleeding history,

Question

A 72-year-old man with hypertension is found to have atrial fibrillation with ventricular rate 86/min. He has no valvular stenosis, bleeding history, or symptoms. Creatinine is normal. CHA2DS2-VASc score is 2. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral anticoagulation

Answer

Defer treatment until palpitations occur

Answer

Start aspirin for stroke prevention

Answer

Begin dual antiplatelet therapy

Answer

Schedule cardioversion without anticoagulation

Atrial fibrillation anticoagulation — USMLE Step 3 MCQ

A 72-year-old man with hypertension is found to have atrial fibrillation with ventricular rate 86/min. He has no valvular stenosis, bleeding history, or symptoms. Creatinine is normal. CHA2DS2-VASc score is 2. Which of the following is the most appropriate next step in management?