A 61-year-old woman has new AF for 4 days. She is hemodynamically stable. What is the safest cardioversion strategy today?...

Question

A 61-year-old woman has new AF for 4 days. She is hemodynamically stable. What is the safest cardioversion strategy today?

Accepted Answer

Transesophageal echo to exclude thrombus, then cardiovert with periprocedural anticoagulation

Answer

Immediate electrical cardioversion without imaging or anticoagulation

Answer

Start aspirin and schedule cardioversion in 1 week

Answer

No cardioversion; start rate control only

Answer

Cardioversion now followed by no anticoagulation if sinus rhythm resumes

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