Practice question

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A 78-year-old man with hypertension and stable angina is found to have atrial fibrillation on routine ECG. He is asymptomatic. His CHA$_2$DS$_2$-VASc score is calculated as 3 (age >75 = 2, hypertension = 1). According to NICE guidelines, what is the most appropriate anticoagulation strategy?

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