Question

A 70-year-old woman with non-valvular atrial fibrillation, hypertension, diabetes, and a previous transient ischaemic attack (TIA) is reviewed in clinic. Her CHA2DS2-VASc score is 5. She is not currently on anticoagulation. What is the most appropriate recommendation?

Accepted Answer

Start a direct oral anticoagulant such as Apixaban, unless contraindicated

Answer

No antithrombotic therapy is required as she is already on Aspirin

Answer

Start Aspirin monotherapy

Answer

Start dual antiplatelet therapy with Aspirin and Clopidogrel instead of anticoagulation

Answer

Offer warfarin only if she refuses a direct oral anticoagulant

Practice question

A 70-year-old woman with non-valvular atrial fibrillation, hypertension, diabetes, and a previous transient ischaemic attack (TIA) is reviewed in clinic. Her CHA2DS2-VASc score is 5. She is not currently on anticoagulation. What is the most appropriate recommendation?