A 61-year-old with atrial fibrillation undergoes elective cardioversion. He has been in AF for 3 weeks, CHA₂DS₂-VASc 3, on no anticoagulation. What is...

Question

A 61-year-old with atrial fibrillation undergoes elective cardioversion. He has been in AF for 3 weeks, CHA₂DS₂-VASc 3, on no anticoagulation. What is the safest strategy?

Accepted Answer

Transesophageal echo-guided cardioversion with peri-procedural anticoagulation and ≥4 weeks post-CV anticoagulation

Answer

Immediate cardioversion without anticoagulation

Answer

Aspirin before and after cardioversion

Answer

Low-dose heparin only during the procedure

Answer

Delay cardioversion indefinitely

us-abim MCQ (SBA): AF-cardioversion anticoagulation

A 61-year-old with atrial fibrillation undergoes elective cardioversion. He has been in AF for 3 weeks, CHA₂DS₂-VASc 3, on no anticoagulation. What is the safest strategy?