Question

A 50-year-old man has new-onset AF within 36 hours with troublesome palpitations. Haemodynamically stable, no structural heart disease. Preferred cardioversion strategy?

Accepted Answer

Immediate pharmacological cardioversion (e.g., flecainide)

Answer

Immediate electrical cardioversion only

Answer

No cardioversion; rate control only

Answer

Start amiodarone for 6 weeks then review

Answer

Anticoagulate for 3 weeks before any cardioversion

Practice question

A 50-year-old man has new-onset AF within 36 hours with troublesome palpitations. Haemodynamically stable, no structural heart disease. Preferred cardioversion strategy?