Question

A 68-year-old man with hypertension and diabetes has paroxysmal atrial fibrillation. His CHA₂DS₂-VASc score is 3 (age 65-74 = 1, hypertension = 1, diabetes = 1). He has normal renal function and no valvular disease. What is the most appropriate antithrombotic strategy?

Accepted Answer

Initiate a direct oral anticoagulant for stroke prevention

Answer

No antithrombotic therapy is indicated

Answer

Aspirin 81 mg daily alone

Answer

Warfarin with target INR 1.5-2.0

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Practice question

A 68-year-old man with hypertension and diabetes has paroxysmal atrial fibrillation. His CHA₂DS₂-VASc score is 3 (age 65-74 = 1, hypertension = 1, diabetes = 1). He has normal renal function and no valvular disease. What is the most appropriate antithrombotic strategy?