Question

A 76-year-old woman with non-valvular atrial fibrillation, hypertension and prior ischaemic stroke is seen in clinic. She has normal renal function and no history of major bleeding. Her CHA₂DS₂-VASc score is 5. What is the most appropriate long-term antithrombotic therapy?

Accepted Answer

Apixaban

Answer

Aspirin alone

Answer

Warfarin (target INR 2.0-3.0)

Answer

Dual antiplatelet therapy (aspirin plus clopidogrel)

Answer

No antithrombotic therapy

Practice question

A 76-year-old woman with non-valvular atrial fibrillation, hypertension and prior ischaemic stroke is seen in clinic. She has normal renal function and no history of major bleeding. Her CHA₂DS₂-VASc score is 5. What is the most appropriate long-term antithrombotic therapy?