Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA2DS2-VASc = 2) has normal renal function. What stroke-prevention strategy is recommended?

Accepted Answer

Oral direct factor Xa inhibitor (e.g., apixaban) at guideline-approved dose

Answer

No antithrombotic therapy

Answer

Aspirin 325 mg daily

Answer

Warfarin with target INR 1.5-2.0

Answer

Dual antiplatelet therapy instead of anticoagulation

Practice question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA2DS2-VASc = 2) has normal renal function. What stroke-prevention strategy is recommended?