A 79-year-old man with atrial fibrillation presents with blood pressure 148/92 mmHg, heart rate 62 bpm, respirations 16/min, and oxygen saturation 98% on room air. He has hypertension, diabetes mellitus, and prior ischemic stroke. Current medications include metoprolol and aspirin. Recent ECG confirms atrial fibrillation with controlled ventricular response. He denies chest pain or dyspnea. Which of the following represents the most important additional long-term management consideration?
- A)Routine prophylactic pacemaker placement
- B)Anticoagulation to reduce thromboembolic stroke riskGABARITO
- C)Daily aspirin only regardless of risk
- D)Permanent adenosine therapy
- E)Avoid all exercise
Explicação
Atrial fibrillation promotes blood stasis in the left atrium, especially the left atrial appendage, and increases embolic stroke risk. This patient has multiple stroke risk factors, so long-term anticoagulation is a key component of management in addition to r... Ver explicação completa e trilha adaptativa →