A 63-year-old man with permanent atrial fibrillation, hypertension and type 2 diabetes asks about stroke prevention. He has no bleeding history and

Question

A 63-year-old man with permanent atrial fibrillation, hypertension and type 2 diabetes asks about stroke prevention. He has no bleeding history and his eGFR is 72 mL/min/1.73 m2. CHA2DS2-VASc is 3. What is the most appropriate management?

Accepted Answer

Commence oral anticoagulation

Answer

Aspirin monotherapy

Answer

Low-dose warfarin targeting INR 1.5

Answer

No antithrombotic therapy

Answer

Left atrial appendage closure as first-line therapy

Atrial fibrillation stroke prevention — RACP Written MCQ

A 63-year-old man with permanent atrial fibrillation, hypertension and type 2 diabetes asks about stroke prevention. He has no bleeding history and his eGFR is 72 mL/min/1.73 m2. CHA2DS2-VASc is 3. What is the most appropriate management?