Question

A 68-year-old man with nonvalvular atrial fibrillation has hypertension and is aged 65-74 years; CHA₂DS₂-VASc = 2. He has no contraindications to anticoagulation. Best next step?

Accepted Answer

Start a direct oral anticoagulant at standard stroke-prevention dosing

Answer

Begin aspirin 81 mg daily

Answer

Rate-control only and no antithrombotic

Answer

Warfarin with target INR 1.5-2.0

Answer

No therapy because age-adjusted risk is low

Practice question

A 68-year-old man with nonvalvular atrial fibrillation has hypertension and is aged 65-74 years; CHA₂DS₂-VASc = 2. He has no contraindications to anticoagulation. Best next step?