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Jeff is a 66-year-old Black male who has been coming to your office for the past several years. BP at this routine visit is 160/92. His BP at his last visit 6 months ago was 150/90. He is overweight (250 lbs, 5'10") and has been trying unsuccessfully for some time to lose weight and reduce his elevated cholesterol levels (LDL 170mg/dL, HDL 36, Total Cholesterol 243, Triglycerides 201) through diet and exercise. His other labs are normal. His pulse is irregularly, irregular at 71 BPM. An EKG confirms atrial fibrillation. He denies dizziness or syncope. The patient has a history of hypertension for which she takes lisinopril and amlodipine, He has a history of benign prosthetic hypertrophy for which he is on Flomax. He has no history of diabetes, rheumatoid heart disease or valvular disorder. He smokes 1 ppd.
Which anticoagulant would you prescribe for his atrial fibrillation? Select all that apply.
dabigatran (Pradaxa)
Enoxaparin (Lovenox)
Warfarin (Coumadin)
rivaroxaban (Xarelto)
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