Question

An 54-year-year-old male with known diabetes mellitus and hypertension presents with episodes of sudden-onset palpitations. ECG reveals paroxysmal atrial fibrillation with a CHA2DS2-VASc score of 3. What is the most appropriate long-term anticoagulation strategy?

Accepted Answer

Warfarin with a target INR of 2-3

Answer

Aspirin alone

Answer

Clopidogrel alone

Answer

Low-molecular-weight heparin injections

Answer

No anticoagulation required

Practice question

An 54-year-year-old male with known diabetes mellitus and hypertension presents with episodes of sudden-onset palpitations. ECG reveals paroxysmal atrial fibrillation with a CHA2DS2-VASc score of 3. What is the most appropriate long-term anticoagulation strategy?