A 76-year-old woman with non-valvular atrial fibrillation, hypertension and previous transient ischaemic attack has a CHA₂DS₂-VASc score of 5. Her cre...

Question

A 76-year-old woman with non-valvular atrial fibrillation, hypertension and previous transient ischaemic attack has a CHA₂DS₂-VASc score of 5. Her creatinine clearance is 70 mL/min and she has no history of major bleeding. What is the most appropriate long-term strategy to reduce her risk of stroke?

Accepted Answer

Apixaban in standard stroke-prevention dose

Answer

Aspirin 100 mg once daily

Answer

Clopidogrel 75 mg once daily

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

No antithrombotic therapy but annual review

au-amc MCQ (SBA): Atrial fibrillation