Question

A 72-year-old man with hypertension and type 2 diabetes has new paroxysmal atrial fibrillation. His CHA₂DS₂-VASc score is 3 and HAS-BLED is 2. He is haemodynamically stable. What is the most appropriate next step in stroke prevention?

Accepted Answer

Start apixaban at an appropriate dose

Answer

Start aspirin 75 mg daily

Answer

No antithrombotic therapy until rhythm is controlled

Answer

Start digoxin monotherapy

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Practice question

A 72-year-old man with hypertension and type 2 diabetes has new paroxysmal atrial fibrillation. His CHA₂DS₂-VASc score is 3 and HAS-BLED is 2. He is haemodynamically stable. What is the most appropriate next step in stroke prevention?