Question

A 59-year-old woman with atrial fibrillation has a CHA₂DS₂-VASc score of 2 (hypertension + female sex). What is the appropriate stroke prevention strategy?

Accepted Answer

Oral anticoagulation is reasonable only when there is at least 1 non-sex stroke risk factor; female sex alone does not count

Answer

No anticoagulation because the score is 2

Answer

Aspirin alone

Answer

Dual antiplatelet therapy

Answer

Left atrial appendage closure first-line

Practice question

A 59-year-old woman with atrial fibrillation has a CHA₂DS₂-VASc score of 2 (hypertension + female sex). What is the appropriate stroke prevention strategy?