A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc score 3) presents for stroke prevention counsel...

Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc score 3) presents for stroke prevention counseling. Renal and hepatic function are normal; no valvular disease is present. Which strategy best reduces his risk of stroke?

Accepted Answer

Start a direct oral anticoagulant for long-term stroke prevention

Answer

Start aspirin 81 mg daily

Answer

Pursue rate control only without antithrombotic therapy

Answer

Schedule catheter ablation and stop all antithrombotics

Answer

Begin warfarin with target INR 2.0-3.0 because age >65

us-abim MCQ (SBA): Atrial Fibrillation

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA₂DS₂-VASc score 3) presents for stroke prevention counseling. Renal and hepatic function are normal; no valvular disease is present. Which strategy best reduces his risk of stroke?