Question

A 78-year-old man presents with new-onset atrial fibrillation. His CHA2DS2-VASc score is 4. He has no contraindications to anticoagulation. What is the most appropriate management regarding stroke prevention?

Accepted Answer

Start a direct-acting oral anticoagulant such as Apixaban at an appropriate dose

Answer

No anticoagulation is required

Answer

Start Aspirin 75 mg daily alone

Answer

Start Clopidogrel as monotherapy

Answer

Offer rate control only without antithrombotic therapy

Practice question

A 78-year-old man presents with new-onset atrial fibrillation. His CHA2DS2-VASc score is 4. He has no contraindications to anticoagulation. What is the most appropriate management regarding stroke prevention?