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Question of the day – atrial fibrillation

June 26th, 2009

A 76 year old man presents with atrial fibrillation which is permanent. He is lucid and has specifically made an appointment with you to discuss the best way of stopping him “dying ” as a result of the AF.

PMHx:
Hypertension (treated), Mild COPD. Nil else of note.

DHx
Verapamil (as treatment for AF)
Amlodipine
Simvastatin
PRN inhalers

SHx
Lives alone. Independent. Can carry out all ADL’s (activities of daily living)

What is the anticoagulation schedule you would recommend to prevent stroke?

a. Clopidrogel
b. Warfarin
c. Aspirin
d. No anticoagulation
e. Warfarin and Aspirin
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2 Responses to “Question of the day – atrial fibrillation”

  1. Dr abdulwahab

    to start warfarin for this patient is the best option because he has CHADS2 2 and he is seems to be tender patient to be compliant with his treatment and INR follow up

    Comment on Oct 14th, 2009 at 10:33 pm   
  2. James

    Correct diagnosis Dr abdulwahab –

    For the full details see here

    http://medicaleducator.co.uk/answer-to-question-of-the-day-atrial-fibrillation.html

    Comment on Nov 8th, 2009 at 6:47 pm   

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