Question

A 71-year-old man with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) seeks stroke prevention. Renal and hepatic function are normal. What is the best therapy?

Accepted Answer

Start apixaban for oral anticoagulation

Answer

Aspirin 81 mg daily

Answer

Warfarin with INR target 1.5-2.0

Answer

No antithrombotic therapy

Answer

Left atrial appendage occlusion device now

Practice question

A 71-year-old man with nonvalvular atrial fibrillation, hypertension, and diabetes (CHA₂DS₂-VASc = 3) seeks stroke prevention. Renal and hepatic function are normal. What is the best therapy?