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New atrial fibrillation, incidentally found

Clinical caseCardiology2 min
New atrial fibrillation, incidentally found

A 71-year-old woman with hypertension and diabetes is found to be in atrial fibrillation on a routine ECG. She is asymptomatic and hemodynamically stable. Her CHA₂DS₂-VASc score is 4.

Which of these is the most appropriate next step for stroke prevention?