Heather is a 48-year-old Caucasian female with a history of…

Heather is a 48-year-old Caucasian female with a history of Diabetes. She currently smokes and her blood pressure reading today is 150/90.  She also brings to office a log of sequential elevated home BP readings. This blood pressure (BP) of 150/90 is considered

A 77 y/o female with a past medical history of hypertension,…

A 77 y/o female with a past medical history of hypertension, diabetes and heart failure with preserved ejection fraction presents to your clinic for routine follow up. The patient mentions that she has been experiencing intermittent episodes of palpitations for the past several months that resolve spontaneously in a few minutes. An EKG is obtained demonstrating atrial fibrillation with a rate of 88 beats per minute with a CHA2DS2-VASc score of 2.  What is the appropriate next step in regard to the prevention of embolic stroke in this patient?