Question

A 72‑year‑old man with paroxysmal atrial fibrillation (AF) and hypertension presents for routine follow‑up. His CHA₂DS₂‑VASc score is 3 (age ≥65, hypertension, vascular disease 0). Renal function is normal. What is the most appropriate next step in long‑term stroke prevention?

Accepted Answer

Initiate a direct oral anticoagulant (e.g., apixaban)

Answer

Aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Left atrial appendage occlusion now

Practice question

A 72‑year‑old man with paroxysmal atrial fibrillation (AF) and hypertension presents for routine follow‑up. His CHA₂DS₂‑VASc score is 3 (age ≥65, hypertension, vascular disease 0). Renal function is normal. What is the most appropriate next step in long‑term stroke prevention?