Question

A 76-year-old man with hypertension and type 2 diabetes presents with paroxysmal atrial fibrillation (AF). CHA₂DS₂-VASc score is 4, HAS-BLED is 2, and renal function is normal. What is the most appropriate stroke-prevention strategy in primary care?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 75 mg daily

Answer

Clopidogrel 75 mg daily

Answer

No antithrombotic treatment

Answer

Warfarin with target INR 2.0-3.0 after cardiology review

Practice question

A 76-year-old man with hypertension and type 2 diabetes presents with paroxysmal atrial fibrillation (AF). CHA₂DS₂-VASc score is 4, HAS-BLED is 2, and renal function is normal. What is the most appropriate stroke-prevention strategy in primary care?