A 76-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes mellitus attends for review. She has no history of stroke or ...

Question

A 76-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes mellitus attends for review. She has no history of stroke or bleeding. CHADS2-VASc score is 4. Renal function is normal. Which is the most appropriate long-term strategy to reduce her risk of ischaemic stroke?

Accepted Answer

Apixaban 5 mg twice daily

Answer

Aspirin 100 mg daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

No antithrombotic therapy because of age

Answer

Low-dose warfarin aiming for an INR of 1.5-2.0

au-amc MCQ (SBA): Atrial fibrillation stroke prevention

A 76-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes mellitus attends for review. She has no history of stroke or bleeding. CHADS2-VASc score is 4. Renal function is normal. Which is the most appropriate long-term strategy to reduce her risk of ischaemic stroke?