A 79-year-old with persistent AF (CHA₂DS₂-VASc 4, HAS-BLED 2) needs stroke prevention. Renal function: eGFR 32 mL/min/1.73 m². Which is most appropria...

Question

A 79-year-old with persistent AF (CHA₂DS₂-VASc 4, HAS-BLED 2) needs stroke prevention. Renal function: eGFR 32 mL/min/1.73 m². Which is most appropriate?

Accepted Answer

Warfarin with INR 2-3

Answer

Aspirin alone

Answer

Apixaban standard dose regardless of renal function

Answer

Clopidogrel monotherapy

Answer

No anticoagulation due to bleeding risk

mrcp part 1 MCQ (SBA): AF Anticoagulation

A 79-year-old with persistent AF (CHA₂DS₂-VASc 4, HAS-BLED 2) needs stroke prevention. Renal function: eGFR 32 mL/min/1.73 m². Which is most appropriate?