Question

A 72-year-old patient presents with palpitations. ECG shows atrial fibrillation with a CHA2DS2-VASc score of 4. According to NICE guidelines, what is the most appropriate anticoagulant strategy?

Accepted Answer

Warfarin with target INR 2-3

Answer

No anticoagulation needed

Answer

Low-dose aspirin

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Subcutaneous low-molecular-weight heparin

Practice question

A 72-year-old patient presents with palpitations. ECG shows atrial fibrillation with a CHA2DS2-VASc score of 4. According to NICE guidelines, what is the most appropriate anticoagulant strategy?