Question

A 68-year-old man with nonvalvular atrial fibrillation has a CHA₂DS₂-VASc score of 2 (hypertension, age 65-74). Creatinine clearance is 70 mL/min. What is the best next step to reduce stroke risk?

Accepted Answer

Start apixaban 5 mg twice daily

Answer

Start warfarin with INR goal 2-3

Answer

Aspirin 81 mg daily

Answer

No anticoagulation needed at this risk score

Answer

Clopidogrel 75 mg daily

Practice question

A 68-year-old man with nonvalvular atrial fibrillation has a CHA₂DS₂-VASc score of 2 (hypertension, age 65-74). Creatinine clearance is 70 mL/min. What is the best next step to reduce stroke risk?