Question

A 71-year-old man with paroxysmal atrial fibrillation has hypertension and type 2 diabetes. CHA2DS2-VASc = 3 (HTN, DM, age 65-74 = 1 + 1 + 1). He has normal renal function. What is the next best step for stroke prevention?

Accepted Answer

Start apixaban 5 mg orally twice daily

Answer

Start aspirin 81 mg daily

Answer

Defer anticoagulation; reassess in 6 months

Answer

Start warfarin with INR goal 1.5-2.0

Answer

Start clopidogrel 75 mg daily

Practice question

A 71-year-old man with paroxysmal atrial fibrillation has hypertension and type 2 diabetes. CHA2DS2-VASc = 3 (HTN, DM, age 65-74 = 1 + 1 + 1). He has normal renal function. What is the next best step for stroke prevention?