A 32-year-old woman presents with episodic palpitations and shortness of breath. ECG in the emergency department shows atrial fibrillation with a vent...

Question

A 32-year-old woman presents with episodic palpitations and shortness of breath. ECG in the emergency department shows atrial fibrillation with a ventricular rate of 130 beats per minute. She is haemodynamically stable. Echocardiogram later is normal. Her CHA2DS2-VASc score is 1 (sex alone). What is the most appropriate long-term stroke prevention strategy?

Accepted Answer

No antithrombotic therapy is recommended

Answer

Aspirin 100 mg daily

Answer

Warfarin with target INR 2.0-3.0

Answer

Direct oral anticoagulant at standard stroke prevention dose

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

au-amc MCQ (SBA): Atrial fibrillation stroke prevention