Question

A 68-year-old man with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes (CHA₂DS₂-VASc score 3) has normal renal function and no prior bleeding. Which strategy best reduces his stroke risk?

Accepted Answer

Start apixaban now

Answer

Start warfarin with INR goal 2-3

Answer

Start aspirin 81 mg daily

Answer

Defer anticoagulation and recheck CHA₂DS₂-VASc in 1 year

Answer

Start dual antiplatelet therapy (aspirin + clopidogrel)

Practice question

A 68-year-old man with nonvalvular atrial fibrillation (paroxysmal), hypertension, and diabetes (CHA₂DS₂-VASc score 3) has normal renal function and no prior bleeding. Which strategy best reduces his stroke risk?