Question

A 68-year-old man with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Renal function is normal (eGFR 78 mL/min/1.73 m²). What is the most appropriate next step to reduce his stroke risk?

Accepted Answer

Start apixaban at standard dose for stroke prevention

Answer

Aspirin 81 mg daily alone

Answer

No antithrombotic therapy

Answer

Clopidogrel monotherapy

Answer

Warfarin with target INR 1.5-2.0

Practice question

A 68-year-old man with nonvalvular atrial fibrillation, hypertension, and type 2 diabetes has a CHA₂DS₂-VASc score of 3. Renal function is normal (eGFR 78 mL/min/1.73 m²). What is the most appropriate next step to reduce his stroke risk?