Question

A 59-year-old man with newly diagnosed non-valvular atrial fibrillation (CHA₂DS₂-VASc score 3) is reviewed in primary care. He has no mitral stenosis, mechanical valve or severe renal impairment. What is the most appropriate anticoagulant choice?

Accepted Answer

Direct oral anticoagulant such as Apixaban

Answer

No anticoagulation needed

Answer

Aspirin 75 mg daily

Answer

Warfarin with target INR 2–3

Answer

Dual antiplatelet therapy with Aspirin and Clopidogrel

Practice question

A 59-year-old man with newly diagnosed non-valvular atrial fibrillation (CHA₂DS₂-VASc score 3) is reviewed in primary care. He has no mitral stenosis, mechanical valve or severe renal impairment. What is the most appropriate anticoagulant choice?