Question

A 66-year-old woman with newly diagnosed nonvalvular atrial fibrillation has hypertension but no other comorbidities. Her CHA₂DS₂-VASc score is 3 (age 65-74 = 1, hypertension = 1, sex = 1). What is the recommended strategy for stroke prevention?

Accepted Answer

Start a DOAC for oral anticoagulation

Answer

Aspirin monotherapy

Answer

No antithrombotic therapy; reassess in 1 year

Answer

Warfarin with goal INR 2.0-3.0

Answer

Left atrial appendage occlusion now

Practice question

A 66-year-old woman with newly diagnosed nonvalvular atrial fibrillation has hypertension but no other comorbidities. Her CHA₂DS₂-VASc score is 3 (age 65-74 = 1, hypertension = 1, sex = 1). What is the recommended strategy for stroke prevention?