A 58-year-old with atrial fibrillation for 5 days is hemodynamically stable and wants cardioversion. He has not been anticoagulated. What is the best ...

Question

A 58-year-old with atrial fibrillation for 5 days is hemodynamically stable and wants cardioversion. He has not been anticoagulated. What is the best next step?

Accepted Answer

Anticoagulate for at least 3 weeks before cardioversion or perform TEE-guided cardioversion with periprocedural anticoagulation

Answer

Proceed with electrical cardioversion now without imaging or anticoagulation

Answer

Start intravenous heparin and cardiovert immediately, then stop anticoagulation the same day

Answer

Give aspirin 325 mg daily for 1 week then cardiovert

Answer

Delay cardioversion for 6 months

us-usmle-step-2 MCQ (SBA): Atrial Fibrillation

A 58-year-old with atrial fibrillation for 5 days is hemodynamically stable and wants cardioversion. He has not been anticoagulated. What is the best next step?