Question

A 63-year-old with atrial fibrillation is planned for elective cardioversion after 2 weeks of AF. He has no anticoagulation yet and is hemodynamically stable. Which strategy is appropriate?

Accepted Answer

Perform TEE-guided cardioversion if no left atrial appendage thrombus and anticoagulate

Answer

Proceed immediately without imaging or anticoagulation

Answer

Start aspirin only for 3 weeks before and 4 weeks after

Answer

Use IV thrombolysis then cardiovert

Answer

Use short-acting heparin during the procedure only

Practice question

A 63-year-old with atrial fibrillation is planned for elective cardioversion after 2 weeks of AF. He has no anticoagulation yet and is hemodynamically stable. Which strategy is appropriate?