A 59-year-old male with nonvalvular AF is scheduled for electrical cardioversion; AF duration is 4 days. He is stable and not anticoagulated. Which is...

Question

A 59-year-old male with nonvalvular AF is scheduled for electrical cardioversion; AF duration is 4 days. He is stable and not anticoagulated. Which is guideline-concordant?

Accepted Answer

Perform TEE-guided strategy; if no thrombus, anticoagulate peri-procedurally and for ≥4 weeks after

Answer

Proceed without anticoagulation and observe

Answer

Antiplatelet therapy only post-cardioversion

Answer

Start warfarin for 1 week only post-procedure

Answer

Delay cardioversion 12 weeks regardless of strategy

us-abim MCQ (SBA): Atrial Fibrillation (Cardioversion)

A 59-year-old male with nonvalvular AF is scheduled for electrical cardioversion; AF duration is 4 days. He is stable and not anticoagulated. Which is guideline-concordant?