Question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA2DS2-VASc score 3 for a man) has normal renal function and no history of valvular stenosis or mechanical valve. What is the most appropriate long-term stroke prevention?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 81 mg daily

Answer

Warfarin with INR target 1.5-2.0

Answer

No anticoagulation; rhythm control alone

Answer

Clopidogrel 75 mg daily

Practice question

A 68-year-old man with paroxysmal atrial fibrillation, hypertension, and type 2 diabetes (CHA2DS2-VASc score 3 for a man) has normal renal function and no history of valvular stenosis or mechanical valve. What is the most appropriate long-term stroke prevention?