Palpitations in Medicine / Internal Medicine — 77yo Woman | Cardiology | SMLE Q#1043
SMLE Question #1043
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 77-year-old woman with hypertension presents with palpitations and mild exertional dyspnea and is found to have new-onset atrial fibrillation. She is hemodynamically stable. She has no prior stroke, transient ischemic attack, systemic embolism, or major bleeding. She has no mechanical heart valve and no moderate-to-severe mitral stenosis. Renal and liver function are normal. Her CHA2DS2-VASc score is 3. What is the most appropriate long-term stroke prevention strategy?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.