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MediumCardiologyNon-valvular atrial fibrillationau-amcau-racp

A 72-year-old man with long-standing hypertension and type 2 diabetes is found to be in atrial fibrillation during a routine visit. He is asymptomatic. ECG confirms non-valvular atrial fibrillation with a ventricular rate of 90 beats/min. Echocardiogram shows normal valves and left ventricular function. His CHA2DS2-VASc score is 3. Renal function is normal. What is the most appropriate strategy to reduce his stroke risk?

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