A 63-year-old with first nonvalvular AF episode asks if cardioversion can be done immediately at 36 hours since onset. He declines TEE. What should be...

Question

A 63-year-old with first nonvalvular AF episode asks if cardioversion can be done immediately at 36 hours since onset. He declines TEE. What should be done?

Accepted Answer

Cardioversion after ≥3 weeks of therapeutic anticoagulation

Answer

Proceed with cardioversion now; no anticoagulation

Answer

Aspirin for 1 week then cardiovert

Answer

Cardioversion now with LMWH only and stop after 24 h

Answer

No cardioversion ever

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

A 63-year-old with first nonvalvular AF episode asks if cardioversion can be done immediately at 36 hours since onset. He declines TEE. What should be done?