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MediumCardiologyAtrial fibrillation stroke preventionca-mccqe1ca-rcpsc-imca-rcpsc-em

A 74-year-old man presents to the emergency department with palpitations and is found to have atrial fibrillation with a ventricular rate of 110 beats/min. He is haemodynamically stable, with no heart failure or ischaemic symptoms. According to the CHADS-65-based approach endorsed in Canadian AF guidelines, which factor alone would clearly indicate long-term oral anticoagulation?

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