A 60-year-old man has a previous history of anterior myocardial infarction and reduced ejection fraction. He reports ongoing exertional breathlessness...

Question

A 60-year-old man has a previous history of anterior myocardial infarction and reduced ejection fraction. He reports ongoing exertional breathlessness but stable angina. His GP calculates a CHA₂DS₂-VASc score of 2 due to heart failure and hypertension and diagnoses non-valvular atrial fibrillation. What is the most appropriate strategy for stroke prevention?

Accepted Answer

Start a direct oral anticoagulant (e.g. Apixaban) or Warfarin for stroke prevention

Answer

No anticoagulation is needed

Answer

Aspirin 75 mg daily alone

Answer

Start Clopidogrel alone

Answer

Use dual antiplatelet therapy without anticoagulation

uk-plab-1 MCQ (SBA): Atrial fibrillation – stroke prevention