Question

A 76-year-old man with hypertension and type 2 diabetes is found to have non-valvular atrial fibrillation on an ECG. His CHA₂DS₂-VASc score is 4. He has normal renal function and no history of major bleeding. What is the single most appropriate management regarding stroke prevention?

Accepted Answer

Offer oral anticoagulation with a direct-acting oral anticoagulant

Answer

No anticoagulation is required because his score is less than 5

Answer

Offer Aspirin monotherapy as antiplatelet stroke prevention

Answer

Offer low-molecular-weight heparin long-term as stroke prevention

Answer

Start dual antiplatelet therapy with Aspirin and Clopidogrel

Practice question

A 76-year-old man with hypertension and type 2 diabetes is found to have non-valvular atrial fibrillation on an ECG. His CHA₂DS₂-VASc score is 4. He has normal renal function and no history of major bleeding. What is the single most appropriate management regarding stroke prevention?