Question

A 72-year-old with nonvalvular atrial fibrillation has hypertension, type 2 diabetes, and symptomatic heart failure. eGFR is 55 mL/min/1.73 m². CHA₂DS₂-VASc = 4. What is the best antithrombotic strategy?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

Warfarin with target INR 2.0-3.0

Answer

No antithrombotic therapy

Answer

Clopidogrel 75 mg daily

Practice question

A 72-year-old with nonvalvular atrial fibrillation has hypertension, type 2 diabetes, and symptomatic heart failure. eGFR is 55 mL/min/1.73 m². CHA₂DS₂-VASc = 4. What is the best antithrombotic strategy?