A 63-year-old woman with persistent atrial fibrillation has a CHA₂DS₂-VASc score of 4 (age, hypertension, diabetes, female sex). She has no contraindi...

Question

A 63-year-old woman with persistent atrial fibrillation has a CHA₂DS₂-VASc score of 4 (age, hypertension, diabetes, female sex). She has no contraindications to anticoagulation and normal renal function. According to Australian practice, what is the most appropriate stroke prevention strategy?

Accepted Answer

Initiate a direct oral anticoagulant at standard dose

Answer

No anticoagulation because bleeding risk is unknown

Answer

Aspirin monotherapy

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Warfarin only if she develops heart failure

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

A 63-year-old woman with persistent atrial fibrillation has a CHA₂DS₂-VASc score of 4 (age, hypertension, diabetes, female sex). She has no contraindications to anticoagulation and normal renal function. According to Australian practice, what is the most appropriate stroke prevention strategy?