Question

A 70-year-old man presents with new-onset atrial fibrillation in the emergency department. He is haemodynamically stable, CHADS-65 positive by age, with no contraindications to anticoagulation. According to the CAEP acute AF best practices checklist, what is the recommended approach to stroke prevention on discharge?

Accepted Answer

Initiate long-term oral anticoagulation with a DOAC or warfarin

Answer

No anticoagulation is needed because AF is newly diagnosed

Answer

Aspirin 81 mg daily as sole therapy

Answer

Short-term (4-week) anticoagulation only, then stop regardless of risk

Answer

Low-molecular-weight heparin for 1 week followed by aspirin alone

Practice question