Question 331 · LEK · Atrial fibrillation

A 67-year-old woman with paroxysmal atrial fibrillation, hypertension and type 2 diabetes mellitus (CHA₂DS₂-VASc score of 4) in the prevention of ischaemic stroke requires the treatment with:

  1. A. only acetylsalicylic acid.
  2. B. only clopidogrel.
  3. C. acetylsalicylic acid and clopidogrel.
  4. D. non-vitamin K antagonist oral anticoagulant (dabigatran, rivaroxaban) or vitamin K antagonists (acenocoumarol, warfarin).
  5. E. she does not require any anticoagulant.
Hint

Count the CHA2DS2-VASc points and recall the score above which oral anticoagulation is recommended in a woman.

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