A 64-year-old woman with atrial fibrillation has CHA2DS2-VASc risk factors including hypertension, diabetes, and previous TIA. She is prescribed

Question

A 64-year-old woman with atrial fibrillation has CHA2DS2-VASc risk factors including hypertension, diabetes, and previous TIA. She is prescribed aspirin 75 mg daily alone because she is worried about anticoagulants. What is the most appropriate action?

Accepted Answer

Refer to the prescriber to discuss anticoagulation because aspirin is inadequate for stroke prevention

Answer

Advise stopping antihypertensives because they affect the risk score

Answer

Reassure that aspirin is equivalent to a DOAC in atrial fibrillation

Answer

Add OTC ibuprofen to enhance antiplatelet effect

Answer

Recommend increasing aspirin to 300 mg daily for better protection

Atrial fibrillation stroke prevention — GPhC CRA MCQ

A 64-year-old woman with atrial fibrillation has CHA2DS2-VASc risk factors including hypertension, diabetes, and previous TIA. She is prescribed aspirin 75 mg daily alone because she is worried about anticoagulants. What is the most appropriate action?