Question

A 72-year-old with paroxysmal atrial fibrillation, hypertension, and no valvular disease has a CHA₂DS₂-VASc score of 3 and eGFR 58 mL/min/1.73 m². What is the most appropriate stroke-prevention strategy?

Accepted Answer

Start apixaban now

Answer

Start aspirin 81 mg daily

Answer

No antithrombotic therapy

Answer

Warfarin with INR target 1.5-2.0

Answer

Clopidogrel monotherapy

Practice question

A 72-year-old with paroxysmal atrial fibrillation, hypertension, and no valvular disease has a CHA₂DS₂-VASc score of 3 and eGFR 58 mL/min/1.73 m². What is the most appropriate stroke-prevention strategy?