Question

A 72-year-old with paroxysmal atrial fibrillation (AF), hypertension, diabetes, and eGFR 58 mL/min/1.73 m² has a CHA₂DS₂-VASc score of 3. He has no mechanical valve or moderate-to-severe mitral stenosis. What is the most appropriate long-term stroke prevention?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Warfarin with INR target 2.5

Answer

Aspirin 81 mg daily

Answer

Clopidogrel 75 mg daily

Answer

No antithrombotic therapy

Practice question

A 72-year-old with paroxysmal atrial fibrillation (AF), hypertension, diabetes, and eGFR 58 mL/min/1.73 m² has a CHA₂DS₂-VASc score of 3. He has no mechanical valve or moderate-to-severe mitral stenosis. What is the most appropriate long-term stroke prevention?