Question

A 72-year-old man with new-onset atrial fibrillation (AF) presents to his GP. He has hypertension and type 2 diabetes. BP 138/84 mmHg, CHA2DS2-VASc score 3, HAS-BLED 2. What is the most appropriate strategy for stroke prevention?

Accepted Answer

Start apixaban at standard dose if renal function allows

Answer

No anticoagulation; aspirin 75 mg daily

Answer

Start warfarin with INR target 3.0-3.5

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Left atrial appendage occlusion

Practice question

A 72-year-old man with new-onset atrial fibrillation (AF) presents to his GP. He has hypertension and type 2 diabetes. BP 138/84 mmHg, CHA2DS2-VASc score 3, HAS-BLED 2. What is the most appropriate strategy for stroke prevention?