Facharzt FMH Allgemeine Innere Medizin Practice Questions - Facharzt FMH Für Allgemeine Innere Medizin Spécialiste FMH En Médecine Interne Générale Exam

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A 72-year-old woman with persistent non-valvular atrial fibrillation has a history of hypertension, type 2 diabetes mellitus, and a remote ischemic stroke (CHA2DS2-VASc score = 6). Her serum creatinine is 85 µmol/L (eGFR 68 mL/min/1.73 m²). Which anticoagulant strategy is recommended as first-line for stroke prevention according to ESC/SGAIM guidelines?

Direct oral anticoagulant (DOAC) such as apixaban, rivaroxaban, edoxaban, or dabigatran Unfractionated heparin bridge followed by lifelong phenprocoumon with target INR 2.0-3.0 Dual antiplatelet therapy with aspirin and clopidogrel Left atrial appendage closure without any medical anticoagulation

Correct Answer:

Direct oral anticoagulant (DOAC) such as apixaban, rivaroxaban, edoxaban, or dabigatran

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