Question

A 68-year-old man with hypertension and type 2 diabetes presents for AF management detected on an ECG today. He is hemodynamically stable. CHA₂DS₂-VASc = 3. Which strategy is most appropriate for stroke prevention?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Start aspirin 81 mg daily

Answer

Start warfarin with INR goal 2-3

Answer

Defer anticoagulation until a transthoracic echocardiogram is completed

Answer

Left atrial appendage occlusion now

Practice question

A 68-year-old man with hypertension and type 2 diabetes presents for AF management detected on an ECG today. He is hemodynamically stable. CHA₂DS₂-VASc = 3. Which strategy is most appropriate for stroke prevention?