ca-mccqe1 MCQ (SBA): Atrial fibrillation - stroke prevention

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A 76-year-old man with non-valvular atrial fibrillation, hypertension and type 2 diabetes presents for routine review. He has normal renal function and has never had a stroke or transient ischaemic attack. According to the 2020 CCS atrial fibrillation guideline, what is the MOST appropriate antithrombotic strategy?

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