Question

A 78-year-old man with permanent atrial fibrillation has hypertension, diabetes and a previous TIA. His CHA2DS2-VASc score is 5. What is the most appropriate recommendation regarding stroke prevention?

Accepted Answer

Start a direct oral anticoagulant such as Apixaban

Answer

No anticoagulation is required because of his age

Answer

Start Aspirin 75 mg daily only

Answer

Offer dual antiplatelet therapy with Aspirin and Clopidogrel

Answer

Offer warfarin only if he has another TIA

Practice question

A 78-year-old man with permanent atrial fibrillation has hypertension, diabetes and a previous TIA. His CHA2DS2-VASc score is 5. What is the most appropriate recommendation regarding stroke prevention?