Question

A 72-year-old man with nonvalvular atrial fibrillation has CHA₂DS₂-VASc score 2 (HTN and age 65-74). Renal function normal. Best long-term stroke prevention?

Accepted Answer

Initiate a DOAC (e.g., apixaban)

Answer

Aspirin 81 mg daily

Answer

Warfarin with INR 1.5-2.0

Answer

No therapy; monitor only

Answer

Left atrial appendage occlusion immediately

Practice question

A 72-year-old man with nonvalvular atrial fibrillation has CHA₂DS₂-VASc score 2 (HTN and age 65-74). Renal function normal. Best long-term stroke prevention?