A 57-year-old with persistent AF is planned for TEE-guided cardioversion. Anticoagulation is therapeutic with a DOAC. TEE shows no LAA thrombus. Next ...

Question

A 57-year-old with persistent AF is planned for TEE-guided cardioversion. Anticoagulation is therapeutic with a DOAC. TEE shows no LAA thrombus. Next step?

Accepted Answer

Proceed with cardioversion and continue anticoagulation for at least 4 weeks

Answer

Cancel cardioversion and stop anticoagulation

Answer

Proceed and stop anticoagulation immediately after

Answer

Switch to warfarin before cardioversion

Answer

Heparin bolus only at the time of cardioversion

us-abim MCQ (SBA): Atrial Fibrillation-TEE Strategy

A 57-year-old with persistent AF is planned for TEE-guided cardioversion. Anticoagulation is therapeutic with a DOAC. TEE shows no LAA thrombus. Next step?