A 70-year-old woman with persistent atrial fibrillation (AF) has a CHA$_2$DS$_2$-VASc score of 4. She has declined oral anticoagulation therapy despit...

Question

A 70-year-old woman with persistent atrial fibrillation (AF) has a CHA$_2$DS$_2$-VASc score of 4. She has declined oral anticoagulation therapy despite counselling. According to NICE NG196, what is the most appropriate alternative strategy for stroke prevention in this patient?

Accepted Answer

Left Atrial Appendage Occlusion (LAAO)

Answer

Aspirin 75mg OD

Answer

Clopidogrel 75mg OD

Answer

Aspirin 75mg PLUS Clopidogrel 75mg OD

Answer

No antithrombotic therapy

mrcp part 1 MCQ (SBA): Stroke Prevention in AF (Anticoagulation Declined)

A 70-year-old woman with persistent atrial fibrillation (AF) has a CHA$_2$DS$_2$-VASc score of 4. She has declined oral anticoagulation therapy despite counselling. According to NICE NG196, what is the most appropriate alternative strategy for stroke prevention in this patient?