Nonvalvular Atrial Fibrillation Is in Medicine / Internal Medicine — 72yo Man | Cardiology | SMLE Q#18601

SMLE Question #18601

Medicine / Internal Medicine Cardiology

Objective: OBJ-163

Last updated: February 2026
A 72-year-old man with nonvalvular atrial fibrillation is starting long-term oral anticoagulation for stroke prevention. His history includes type 2 diabetes mellitus, hypertension, and hyperlipidaemia. He has stable chronic kidney disease and no active bleeding. He is not on dialysis. Which direct oral anticoagulant is the preferred option in significant renal impairment?

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