Question

A 72-year-old man with permanent atrial fibrillation (CHA₂DS₂-VASc 4, HAS-BLED 2) asks about stroke prevention. He has normal renal function and no history of gastrointestinal bleeding. What is the most appropriate first-line anticoagulant in UK primary care?

Accepted Answer

Apixaban

Answer

Aspirin 75 mg once daily

Answer

Warfarin (INR 2-3)

Answer

Clopidogrel 75 mg once daily

Answer

No antithrombotic therapy

Practice question

A 72-year-old man with permanent atrial fibrillation (CHA₂DS₂-VASc 4, HAS-BLED 2) asks about stroke prevention. He has normal renal function and no history of gastrointestinal bleeding. What is the most appropriate first-line anticoagulant in UK primary care?