A 63-year-old man with permanent atrial fibrillation and hypertension attends for review. He has no history of stroke, diabetes, heart failure or vasc...

Question

A 63-year-old man with permanent atrial fibrillation and hypertension attends for review. He has no history of stroke, diabetes, heart failure or vascular disease. His CHA2DS2-VASc score is 2 (age 65-74 would be 1 but he is 63; hypertension 1). What is the most appropriate strategy for stroke prevention?

Accepted Answer

Start an oral anticoagulant such as apixaban

Answer

No antithrombotic therapy is required as his score is low

Answer

Start aspirin 100 mg daily

Answer

Start dual antiplatelet therapy with aspirin and clopidogrel

Answer

Offer left atrial appendage occlusion instead of pharmacotherapy

au-racp MCQ (SBA): Atrial fibrillation stroke prevention