Question

A 68-year-old with nonvalvular atrial fibrillation (CHA₂DS₂-VASc = 3) and normal renal function asks about stroke prevention. Which is most appropriate?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

Warfarin (goal INR 2.0-3.0) only if HAS-BLED ≥3

Answer

Dual antiplatelet therapy (aspirin + clopidogrel)

Answer

No antithrombotic therapy is needed at this score

Practice question

A 68-year-old with nonvalvular atrial fibrillation (CHA₂DS₂-VASc = 3) and normal renal function asks about stroke prevention. Which is most appropriate?