Question

A 78-year-old woman with non-valvular atrial fibrillation, hypertension and previous transient ischaemic attack presents for review. Her CHA₂DS₂-VASc score is 5. She is in sinus rhythm on metoprolol and has no history of bleeding. What is the most appropriate antithrombotic strategy?

Accepted Answer

Start apixaban at an appropriate dose for age and renal function

Answer

Aspirin 100 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

No antithrombotic therapy as she is currently in sinus rhythm

Answer

Warfarin with target INR 1.5-2.0

Practice question

A 78-year-old woman with non-valvular atrial fibrillation, hypertension and previous transient ischaemic attack presents for review. Her CHA₂DS₂-VASc score is 5. She is in sinus rhythm on metoprolol and has no history of bleeding. What is the most appropriate antithrombotic strategy?