Question

A 72-year-old man with permanent atrial fibrillation, hypertension, diabetes, and prior TIA is considering anticoagulation. Echocardiography shows moderate-to-severe rheumatic mitral stenosis. What is the most appropriate anticoagulant?

Accepted Answer

Warfarin (target INR 2.0-3.0)

Answer

Apixaban

Answer

Dabigatran

Answer

Rivaroxaban

Answer

No anticoagulation because CHA2DS2-VASc already includes TIA

Practice question

A 72-year-old man with permanent atrial fibrillation, hypertension, diabetes, and prior TIA is considering anticoagulation. Echocardiography shows moderate-to-severe rheumatic mitral stenosis. What is the most appropriate anticoagulant?