Question

A 79-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes has a CHA2DS2-VASc score of 4. She is currently on no anticoagulation. Renal function is normal. What is the most appropriate stroke prevention strategy?

Accepted Answer

Direct oral anticoagulant such as Apixaban at an appropriate dose

Answer

No treatment required as she is over 75

Answer

Aspirin 75 mg once daily

Answer

Warfarin with target INR 2.5

Answer

Clopidogrel 75 mg once daily

Practice question

A 79-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes has a CHA2DS2-VASc score of 4. She is currently on no anticoagulation. Renal function is normal. What is the most appropriate stroke prevention strategy?