A 72-year-old man with hypertension and chronic kidney disease presents with new non-valvular atrial fibrillation. He has a history of transient ischa...

Question

A 72-year-old man with hypertension and chronic kidney disease presents with new non-valvular atrial fibrillation. He has a history of transient ischaemic attack. His creatinine clearance is 55 mL/min, and there is no valvular disease. According to the Canadian Cardiovascular Society atrial fibrillation guidelines, which long-term stroke prevention strategy is preferred?

Accepted Answer

A direct oral anticoagulant at guideline-approved dose

Answer

No antithrombotic therapy

Answer

Acetylsalicylic acid alone

Answer

Dual antiplatelet therapy with acetylsalicylic acid and clopidogrel

Answer

Warfarin with INR target 2.0 to 3.0

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