Question

An 82-year-old man presents with an irregularly irregular pulse and is found to have atrial fibrillation on ECG. He has a CHA2DS2-VASc score of 3 and no contraindications to anticoagulation. According to NICE guidelines, what is the single best anticoagulation strategy for stroke prevention?

Accepted Answer

Full-dose rivaroxaban (20 mg daily)

Answer

Aspirin monotherapy

Answer

Clopidogrel monotherapy

Answer

Warfarin to maintain INR 2-3

Answer

Low-dose rivaroxaban (10 mg daily)

Practice question

An 82-year-old man presents with an irregularly irregular pulse and is found to have atrial fibrillation on ECG. He has a CHA2DS2-VASc score of 3 and no contraindications to anticoagulation. According to NICE guidelines, what is the single best anticoagulation strategy for stroke prevention?