Question

A 72-year-old man with paroxysmal atrial fibrillation has CHA2DS2-VASc = 2 (age 65-74 and hypertension). Renal function is normal. What is the most appropriate stroke-prevention strategy?

Accepted Answer

Initiate a direct oral anticoagulant

Answer

Aspirin 81 mg daily

Answer

No therapy because AF is paroxysmal

Answer

Clopidogrel 75 mg daily

Answer

Left atrial appendage occlusion now

Practice question

A 72-year-old man with paroxysmal atrial fibrillation has CHA2DS2-VASc = 2 (age 65-74 and hypertension). Renal function is normal. What is the most appropriate stroke-prevention strategy?