uk-dgm MCQ (SBA): Anticoagulation in AF with Severe CKD

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HardCardiovascular in Older PeopleAnticoagulation in AF with Severe CKDuk-dgm

An 80-year-old man with atrial fibrillation and a CHA₂DS₂-VASc score of 4 is reviewed in the GP surgery. He also has CKD stage 4 (eGFR 22 mL/min/1.73m²). He currently takes no anticoagulation. He has no history of bleeding. According to current guidelines, what is the MOST appropriate anticoagulant to initiate?

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