Question

A 68-year-old man with nonvalvular atrial fibrillation (paroxysmal) has hypertension and diabetes. His CHA₂DS₂-VASc score is 3. Renal function is normal. What is the best next step?

Accepted Answer

Start apixaban

Answer

Aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Start warfarin with INR 1.5-2.0

Answer

Left atrial appendage occlusion

Practice question

A 68-year-old man with nonvalvular atrial fibrillation (paroxysmal) has hypertension and diabetes. His CHA₂DS₂-VASc score is 3. Renal function is normal. What is the best next step?