Question

A 72-year-old with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) has normal renal function and no mechanical valve. What is the most appropriate long-term stroke-prevention strategy?

Accepted Answer

Direct oral anticoagulant (e.g., apixaban)

Answer

No antithrombotic therapy

Answer

Aspirin 81 mg daily

Answer

Warfarin with INR 2-3

Answer

Left atrial appendage occlusion now

Practice question

A 72-year-old with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) has normal renal function and no mechanical valve. What is the most appropriate long-term stroke-prevention strategy?