A 70-year-old woman with persistent non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for review. Her CHA₂DS₂-VASc score is ...

Question

A 70-year-old woman with persistent non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for review. Her CHA₂DS₂-VASc score is 4. She has no history of bleeding and normal renal function. What is the single most appropriate next step in her management?

Accepted Answer

Start a non-vitamin K oral anticoagulant

Answer

Start low-dose aspirin alone

Answer

Offer rate control only without antithrombotic therapy

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel

Answer

Start warfarin only if she develops heart failure

au-racp MCQ (SBA): Stroke prevention in atrial fibrillation

A 70-year-old woman with persistent non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for review. Her CHA₂DS₂-VASc score is 4. She has no history of bleeding and normal renal function. What is the single most appropriate next step in her management?