Question

A 73-year-old woman with permanent atrial fibrillation, hypertension and a prior ischaemic stroke presents for review. She is in rate-controlled AF on metoprolol. Her CHA₂DS₂-VASc score is 5. What is the most appropriate recommendation regarding stroke prevention?

Accepted Answer

Commence an oral anticoagulant such as apixaban

Answer

No anticoagulation is required as she is rate controlled

Answer

Start aspirin 100 mg daily

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel

Answer

Perform left atrial appendage occlusion instead of anticoagulation as first-line

Practice question

A 73-year-old woman with permanent atrial fibrillation, hypertension and a prior ischaemic stroke presents for review. She is in rate-controlled AF on metoprolol. Her CHA₂DS₂-VASc score is 5. What is the most appropriate recommendation regarding stroke prevention?