Question

A 71-year-old woman with paroxysmal atrial fibrillation and hypertension has normal renal function and no history of bleeding. According to the CCS CHADS-65 algorithm, which antithrombotic strategy is most appropriate for stroke prevention?

Accepted Answer

Direct oral anticoagulant at stroke-prevention dose

Answer

No antithrombotic therapy

Answer

Aspirin 81 mg daily alone

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Answer

Prophylactic-dose low-molecular-weight heparin indefinitely

Practice question

A 71-year-old woman with paroxysmal atrial fibrillation and hypertension has normal renal function and no history of bleeding. According to the CCS CHADS-65 algorithm, which antithrombotic strategy is most appropriate for stroke prevention?