Question

An otherwise healthy 68-year-old man with nonvalvular atrial fibrillation has hypertension and type 2 diabetes (CHA2DS2-VASc = 2). He has no history of bleeding and normal renal function. Which is the single best next step for stroke prevention?

Accepted Answer

Start apixaban

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy needed

Answer

Start clopidogrel

Answer

Warfarin with target INR 2.5

Practice question

An otherwise healthy 68-year-old man with nonvalvular atrial fibrillation has hypertension and type 2 diabetes (CHA2DS2-VASc = 2). He has no history of bleeding and normal renal function. Which is the single best next step for stroke prevention?