Practice question

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A 62-year-old man with a history of ischaemic heart disease and previous MI is found to be in atrial fibrillation on routine ECG. He is asymptomatic. His CHA2DS2-VASc score is 3. Echocardiogram shows LV ejection fraction of 45%. According to NICE NG196, what is the most appropriate anticoagulation strategy?

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