Practice question

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A 72-year-old woman with a history of hypertension and osteoarthritis presents with a new diagnosis of atrial fibrillation. Her CHA2DS2-VASc score is 4. She has no history of bleeding disorders and her renal function is eGFR 65 mL/min/1.73m2. According to NICE guidelines, what is the most appropriate anticoagulation to offer?

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