Question

An 82-year-old woman presents with new-onset palpitations and an irregularly irregular pulse. ECG confirms atrial fibrillation. She has no history of valvular disease. Which of the following is recommended for stroke prophylaxis?

Accepted Answer

Direct oral anticoagulant (DOAC) such as apixaban

Answer

Aspirin only

Answer

Warfarin with a target INR of 2.0-3.0

Answer

Low-molecular-weight heparin

Answer

No anticoagulation needed

Practice question

An 82-year-old woman presents with new-onset palpitations and an irregularly irregular pulse. ECG confirms atrial fibrillation. She has no history of valvular disease. Which of the following is recommended for stroke prophylaxis?