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

Practice 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?