Question

A 67-year-old with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA2DS2-VASc = 3) has normal renal function. Which approach is guideline-preferred for stroke prevention?

Accepted Answer

Direct oral anticoagulant

Answer

Aspirin 81 mg daily

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Answer

Warfarin with target INR 2-3 for all AF

Answer

No antithrombotic therapy until age 75

Practice question

A 67-year-old with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA2DS2-VASc = 3) has normal renal function. Which approach is guideline-preferred for stroke prevention?