Atrial Fibrillation in Medicine / Internal Medicine — 55yo Woman | Cardiology | SMLE Q#11231

SMLE Question #11231

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 55-year-old woman has hypertension and a prior transient ischemic attack. Six months ago, she was diagnosed with atrial fibrillation with rapid ventricular response and started on warfarin, metoprolol, and candesartan. She has had no symptoms since and today her examination is unremarkable, with an ECG showing sinus rhythm. Her CHA2DS2-VASc score is 4. What is the most appropriate management regarding her antithrombotic therapy?

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