A 68-year-old with atrial fibrillation (nonvalvular), hypertension, diabetes, and prior TIA asks about stroke prevention. CHA2DS2-VASc = 5. eGFR 70 mL...

Question

A 68-year-old with atrial fibrillation (nonvalvular), hypertension, diabetes, and prior TIA asks about stroke prevention. CHA2DS2-VASc = 5. eGFR 70 mL/min. What is recommended?

Accepted Answer

Initiate a direct oral anticoagulant

Answer

Aspirin 81 mg daily

Answer

No therapy because age >65 already increases bleeding

Answer

Dual antiplatelet therapy

Answer

Warfarin only if HAS-BLED >=3

us-abim MCQ (SBA): Atrial Fibrillation

A 68-year-old with atrial fibrillation (nonvalvular), hypertension, diabetes, and prior TIA asks about stroke prevention. CHA2DS2-VASc = 5. eGFR 70 mL/min. What is recommended?