Question

A 70-year-old patient presents with palpitations and an irregularly irregular pulse. An ECG confirms atrial fibrillation. He has no significant valvular disease and a CHA2DS2-VASc score of 3. What is the most appropriate anticoagulation strategy according to current NICE guidance?

Accepted Answer

Warfarin to maintain INR 2-3

Answer

Aspirin alone

Answer

No anticoagulation required

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Answer

High-intensity statin therapy only

Practice question

A 70-year-old patient presents with palpitations and an irregularly irregular pulse. An ECG confirms atrial fibrillation. He has no significant valvular disease and a CHA2DS2-VASc score of 3. What is the most appropriate anticoagulation strategy according to current NICE guidance?