Question

A 72-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes has a CHA2DS2-VASc score of 4. She has no contraindications to anticoagulation and normal renal function. What is the most appropriate strategy for stroke prevention?

Accepted Answer

A direct oral anticoagulant such as Apixaban

Answer

No anticoagulation as she is in rate-controlled AF

Answer

Aspirin 75 mg once daily

Answer

Dual antiplatelet therapy with Aspirin and Clopidogrel

Answer

Warfarin only if she develops heart failure

Practice question

A 72-year-old woman with permanent atrial fibrillation, hypertension and type 2 diabetes has a CHA2DS2-VASc score of 4. She has no contraindications to anticoagulation and normal renal function. What is the most appropriate strategy for stroke prevention?