A 76-year-old woman with hypertension has newly diagnosed paroxysmal atrial fibrillation. ECG now shows sinus rhythm. She has no bleeding history and

Question

A 76-year-old woman with hypertension has newly diagnosed paroxysmal atrial fibrillation. ECG now shows sinus rhythm. She has no bleeding history and creatinine is normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral anticoagulation

Answer

Start dual antiplatelet therapy

Answer

Use aspirin as stroke prevention

Answer

Schedule carotid endarterectomy

Answer

No treatment because rhythm is paroxysmal

Atrial fibrillation stroke prevention — USMLE Step 3 MCQ

A 76-year-old woman with hypertension has newly diagnosed paroxysmal atrial fibrillation. ECG now shows sinus rhythm. She has no bleeding history and creatinine is normal. Which of the following is the most appropriate next step in management?