A 73-year-old man has newly recognized nonvalvular atrial fibrillation on ECG during a follow-up visit. He has hypertension and diabetes. He has no

Question

A 73-year-old man has newly recognized nonvalvular atrial fibrillation on ECG during a follow-up visit. He has hypertension and diabetes. He has no bleeding history and creatinine is normal. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start oral anticoagulation

Answer

Start aspirin as equivalent stroke prevention

Answer

Schedule routine electrical cardioversion without anticoagulation planning

Answer

Perform carotid endarterectomy

Answer

No therapy because he is asymptomatic

Atrial fibrillation — USMLE Step 3 MCQ

A 73-year-old man has newly recognized nonvalvular atrial fibrillation on ECG during a follow-up visit. He has hypertension and diabetes. He has no bleeding history and creatinine is normal. Which of the following would you recommend at the follow-up visit?