Question

A 66-year-old man with a history of hypertension and previous myocardial infarction is found to have atrial fibrillation on routine ECG. He is asymptomatic. His CHA2DS2-VASc score is calculated as 4. What is the most appropriate long-term management strategy regarding stroke prevention?

Accepted Answer

Offer anticoagulation with a direct-acting oral anticoagulant (DOAC)

Answer

Offer anticoagulation with warfarin (target INR 2.0-3.0)

Answer

Offer aspirin 75mg daily

Answer

Offer clopidogrel 75mg daily

Answer

No antithrombotic therapy required

Practice question

A 66-year-old man with a history of hypertension and previous myocardial infarction is found to have atrial fibrillation on routine ECG. He is asymptomatic. His CHA2DS2-VASc score is calculated as 4. What is the most appropriate long-term management strategy regarding stroke prevention?