A 61-year-old with persistent AF and CHA₂DS₂-VASc 1 (male) declines anticoagulation. Best advice per 2023 AF guideline?...

Question

A 61-year-old with persistent AF and CHA₂DS₂-VASc 1 (male) declines anticoagulation. Best advice per 2023 AF guideline?

Accepted Answer

Reassess stroke risk; anticoagulation is reasonable when annual risk ≥2% (generally at ≥2 in men)

Answer

Start aspirin 81 mg daily instead

Answer

No therapy needed ever

Answer

Start dual antiplatelet therapy

Answer

Start warfarin plus aspirin

us-abim MCQ (SBA): AF Stroke Prevention Thresholds