Question

A 64-year-old man with atrial fibrillation and a CHA₂DS₂-VASc score of 5 is scheduled for TEE-guided cardioversion tomorrow. He is not currently anticoagulated. What periprocedural anticoagulation is required?

Accepted Answer

Anticoagulate periprocedurally and continue at least 4 weeks after cardioversion

Answer

None if TEE shows no thrombus

Answer

Aspirin only for 1 week

Answer

Heparin during procedure only

Answer

Clopidogrel only

Practice question

A 64-year-old man with atrial fibrillation and a CHA₂DS₂-VASc score of 5 is scheduled for TEE-guided cardioversion tomorrow. He is not currently anticoagulated. What periprocedural anticoagulation is required?