Question

A 66-year-old man with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) asks about stroke prevention. What is the best next step?

Accepted Answer

Start apixaban at an evidence-based dose

Answer

Start aspirin 81 mg daily

Answer

No therapy; anticoagulation is optional at this score

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Warfarin is preferred to DOACs in nonvalvular AF

Practice question

A 66-year-old man with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) asks about stroke prevention. What is the best next step?