A 58-year-old with persistent AF requires cardioversion. He has been in AF for 2 weeks and is not anticoagulated. TEE shows no thrombus. What is appro...

Question

A 58-year-old with persistent AF requires cardioversion. He has been in AF for 2 weeks and is not anticoagulated. TEE shows no thrombus. What is appropriate?

Accepted Answer

Cardioversion now with periprocedural anticoagulation and at least 4 weeks after

Answer

Immediate cardioversion without anticoagulation

Answer

Delay cardioversion for 12 weeks

Answer

Aspirin peri-procedurally

Answer

No cardioversion; rate control only

us-usmle-step-2 MCQ (SBA): AF Cardioversion Anticoagulation

A 58-year-old with persistent AF requires cardioversion. He has been in AF for 2 weeks and is not anticoagulated. TEE shows no thrombus. What is appropriate?