Question

A 72-year-old with atrial fibrillation (CHA₂DS₂‑VASc = 4) has no contraindication to anticoagulation. Which statement reflects current recommendations?

Accepted Answer

Initiate oral anticoagulation to reduce stroke risk

Answer

Use aspirin 81 mg daily instead of anticoagulation

Answer

Anticoagulation not indicated unless prior TIA

Answer

Defer until CHA₂DS₂‑VASc ≥5

Answer

Left atrial appendage occlusion is first-line

Practice question

A 72-year-old with atrial fibrillation (CHA₂DS₂‑VASc = 4) has no contraindication to anticoagulation. Which statement reflects current recommendations?