Question

A 78-year-old woman with hypertension and type 2 diabetes is found to have persistent atrial fibrillation. She has no history of stroke or TIA. What is the most appropriate long-term stroke prevention strategy?

Accepted Answer

Start Apixaban for oral anticoagulation

Answer

Start low-dose aspirin only

Answer

No antithrombotic treatment is needed

Answer

Advise intermittent prophylactic low-molecular-weight heparin

Answer

Dual antiplatelet therapy with aspirin and clopidogrel

Practice question

A 78-year-old woman with hypertension and type 2 diabetes is found to have persistent atrial fibrillation. She has no history of stroke or TIA. What is the most appropriate long-term stroke prevention strategy?