Question

A 68-year-old with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Creatinine clearance is 72 mL/min, no history of bleeding. What is the most appropriate stroke-prevention strategy?

Accepted Answer

Apixaban 5 mg twice daily

Answer

No antithrombotic therapy

Answer

Aspirin 81 mg daily

Answer

Warfarin targeting INR 1.5-2.0

Answer

Clopidogrel 75 mg daily

Practice question

A 68-year-old with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Creatinine clearance is 72 mL/min, no history of bleeding. What is the most appropriate stroke-prevention strategy?