A 76-year-old woman presents with newly diagnosed non-valvular atrial fibrillation. She has hypertension and type 2 diabetes but no prior stroke or TI...

Question

A 76-year-old woman presents with newly diagnosed non-valvular atrial fibrillation. She has hypertension and type 2 diabetes but no prior stroke or TIA. Her CHADS-VASc score is 4. Renal function is normal and there are no major bleeding risk factors. What is the most appropriate stroke-prevention strategy?

Accepted Answer

Oral anticoagulation with a direct oral anticoagulant (DOAC) at standard dose

Answer

No antithrombotic therapy is required

Answer

Acetylsalicylic acid 81 mg daily alone

Answer

Clopidogrel 75 mg daily alone

Answer

Dual antiplatelet therapy with ASA and clopidogrel

ca-mccqe1 MCQ (SBA): Atrial fibrillation stroke prevention