A 68-year-old man with non-valvular atrial fibrillation, hypertension, type 2 diabetes, and prior transient ischaemic attack attends your clinic. His ...

Question

A 68-year-old man with non-valvular atrial fibrillation, hypertension, type 2 diabetes, and prior transient ischaemic attack attends your clinic. His CHA2DS2-VASc score is 5. He has no history of major bleeding and his renal function is normal. What is the most appropriate stroke prevention strategy?

Accepted Answer

Direct oral anticoagulant (e.g. apixaban) at stroke prevention dose

Answer

No anticoagulation, aspirin 100 mg daily only

Answer

Warfarin with target INR 1.5-2.0

Answer

Dual antiplatelet therapy with aspirin and clopidogrel instead of anticoagulation

Answer

No pharmacological therapy because of his age

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