Examen Único De Residencias Córdoba (Medicina) Practice Questions - Córdoba Health Residencies Single Examination (Examen Único De Residencias En Salud - Córdoba Medicina) Exam

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A 71-year-old woman with a history of hypertension and type 2 diabetes mellitus presents for routine evaluation. An ECG reveals asymptomatic atrial fibrillation with a ventricular response of 84 bpm. Her echocardiogram shows normal left ventricular function and a mildly enlarged left atrium. Her CHA2DS2-VASc score is calculated. What is the recommended strategy regarding stroke prevention?

Prescribe dual antiplatelet therapy with aspirin and clopidogrel Prescribe aspirin 100 mg daily as monotherapy for antiplatelet stroke prophylaxis Initiate oral anticoagulation with a direct oral anticoagulant (DOAC, e.g., apixaban, rivaroxaban, dabigatran) or a vitamin K antagonist Withhold antithrombotic therapy because the atrial fibrillation is asymptomatic

Correct Answer:

Initiate oral anticoagulation with a direct oral anticoagulant (DOAC, e.g., apixaban, rivaroxaban, dabigatran) or a vitamin K antagonist

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