Question

A 72-year-old with atrial fibrillation (CHA₂DS₂-VASc 4) and normal renal function presents for stroke prevention. He has no mechanical valve or moderate-to-severe mitral stenosis. Which is the preferred long-term anticoagulant?

Accepted Answer

Apixaban

Answer

Warfarin (INR 2-3)

Answer

Aspirin 81 mg daily

Answer

Clopidogrel 75 mg daily

Answer

Dual antiplatelet therapy

Practice question

A 72-year-old with atrial fibrillation (CHA₂DS₂-VASc 4) and normal renal function presents for stroke prevention. He has no mechanical valve or moderate-to-severe mitral stenosis. Which is the preferred long-term anticoagulant?