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HardCardiologyAtrial fibrillationau-racpau-amc

A 72-year-old man with non-valvular atrial fibrillation, hypertension and prior transient ischaemic attack (TIA) is reviewed in clinic. His CHA₂DS₂-VA score is 4. He has normal renal function and no history of major bleeding. What is the most appropriate long-term stroke prevention strategy according to Australian atrial fibrillation guidelines?

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