Question

A 76-year-old woman with hypertension and type 2 diabetes is found to have persistent non-valvular atrial fibrillation on ECG. She has no history of stroke or major bleeding. Her CHA₂DS₂-VA score is 4. What is the most appropriate strategy to reduce her stroke risk?

Accepted Answer

Start a direct oral anticoagulant at standard dose

Answer

Low-dose aspirin 100 mg daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

No antithrombotic therapy because of age-related bleeding risk

Answer

Intermittent low molecular weight heparin injections

Practice question

A 76-year-old woman with hypertension and type 2 diabetes is found to have persistent non-valvular atrial fibrillation on ECG. She has no history of stroke or major bleeding. Her CHA₂DS₂-VA score is 4. What is the most appropriate strategy to reduce her stroke risk?