Question

A 76-year-old man in permanent non-valvular atrial fibrillation attends clinic. He has hypertension and type 2 diabetes but no prior stroke or TIA. His renal function is normal. According to stroke prevention recommendations, what is the most appropriate strategy?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant at standard stroke-prevention dose

Answer

No antithrombotic therapy is needed

Answer

Aspirin 100 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Low-dose enoxaparin 20 mg once daily long-term

Practice question

A 76-year-old man in permanent non-valvular atrial fibrillation attends clinic. He has hypertension and type 2 diabetes but no prior stroke or TIA. His renal function is normal. According to stroke prevention recommendations, what is the most appropriate strategy?