Question

A 72-year-old man with paroxysmal atrial fibrillation has CHA₂DS₂-VASc score 2 (age 65-74 =1, hypertension =1). He has normal renal function and no valvular disease. What is the single best next step for stroke prevention?

Accepted Answer

Start apixaban 5 mg orally twice daily

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy needed

Answer

Start warfarin with INR target 1.5-2.0

Answer

Start clopidogrel 75 mg daily

Practice question

A 72-year-old man with paroxysmal atrial fibrillation has CHA₂DS₂-VASc score 2 (age 65-74 =1, hypertension =1). He has normal renal function and no valvular disease. What is the single best next step for stroke prevention?