Which of the following is the most appropriate management plan? A. Add digoxin to his current treatment regimen B. Pharmacological cardioversion to sinus rhythm C. Start anticoagul... Which of the following is the most appropriate management plan? A. Add digoxin to his current treatment regimen B. Pharmacological cardioversion to sinus rhythm C. Start anticoagulation therapy to prevent stroke D. No further step is needed as he is asymptomatic.
Understand the Problem
The question is asking for the best management plan for a 75-year-old man with atrial fibrillation, considering his medical history and current asymptomatic status. It aims to explore the appropriate medical intervention based on the provided clinical scenario.
Answer
Start anticoagulation therapy to prevent stroke.
The final answer is C. Start anticoagulation therapy to prevent stroke.
Answer for screen readers
The final answer is C. Start anticoagulation therapy to prevent stroke.
More Information
In patients with atrial fibrillation and history of TIA, initiating anticoagulation is crucial to prevent stroke, regardless of current symptoms.
Tips
A common mistake is to overlook stroke prevention in asymptomatic atrial fibrillation patients.
Sources
- Atrial Fibrillation Treatment & Management - Medscape Reference - emedicine.medscape.com
- Atrial fibrillation: diagnosis and management - NCBI Bookshelf - ncbi.nlm.nih.gov
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