A 58-year-old develops atrial fibrillation of 4 days' duration. He is hemodynamically stable and rate controlled. What is an acceptable cardioversion ...

Question

A 58-year-old develops atrial fibrillation of 4 days' duration. He is hemodynamically stable and rate controlled. What is an acceptable cardioversion strategy?

Accepted Answer

Cardioversion guided by transesophageal echocardiography (TEE) to exclude atrial thrombus, with anticoagulation for ≥4 weeks after

Answer

Immediate electrical cardioversion without anticoagulation or imaging

Answer

Cardioversion now with ASA 325 mg pre‑treatment

Answer

Delay cardioversion for 3 months then re-evaluate

Answer

Cardioversion only after 7 days of IV heparin

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

A 58-year-old develops atrial fibrillation of 4 days' duration. He is hemodynamically stable and rate controlled. What is an acceptable cardioversion strategy?