Question

A 71-year-old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc=3) asks about stroke prevention. What is the best next step?

Accepted Answer

Start a DOAC (e.g., apixaban)

Answer

Aspirin 81 mg daily

Answer

Clopidogrel alone

Answer

Warfarin aiming INR 3.0-4.0

Answer

Left atrial appendage occlusion now

Practice question

A 71-year-old man with paroxysmal atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc=3) asks about stroke prevention. What is the best next step?