Question

A 72-year-old man with paroxysmal atrial fibrillation (AF), hypertension, type 2 diabetes, and no history of bleeding asks about stroke prevention. His CHA2DS2-VASc score is 3 and HAS-BLED score is 2. Renal function is normal. What is the most appropriate long-term antithrombotic strategy?

Accepted Answer

Apixaban standard dose

Answer

Warfarin with target INR 2.0-3.0

Answer

Aspirin 75 mg daily

Answer

Dual antiplatelet therapy (aspirin plus clopidogrel)

Answer

No antithrombotic therapy

Practice question

A 72-year-old man with paroxysmal atrial fibrillation (AF), hypertension, type 2 diabetes, and no history of bleeding asks about stroke prevention. His CHA2DS2-VASc score is 3 and HAS-BLED score is 2. Renal function is normal. What is the most appropriate long-term antithrombotic strategy?