Question

A 74-year-old man with paroxysmal atrial fibrillation (AF) has CHA₂DS₂-VASc = 3. He has normal renal function and no mechanical valve. Best next step?

Accepted Answer

Initiate a direct oral anticoagulant

Answer

Aspirin 81 mg daily

Answer

Rate control only with beta-blocker

Answer

No therapy-low stroke risk

Answer

Warfarin is required

Practice question

A 74-year-old man with paroxysmal atrial fibrillation (AF) has CHA₂DS₂-VASc = 3. He has normal renal function and no mechanical valve. Best next step?