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.
Hypertension (treated), Mild COPD. Nil else of note.
Verapamil (as treatment for AF)
Lives alone. Independent. Can carry out all ADL’s (activities of daily living)
What is the anticoagulation schedule you would recommend to prevent stroke?
d. No anticoagulation
e. Warfarin and Aspirin