Question

A 70-year-old with AF >48 hours duration is planned for elective cardioversion. Guideline-concordant anticoagulation strategy?

Accepted Answer

Start/continue therapeutic anticoagulation for >=3 weeks pre-cardioversion or do TEE-guided approach with periprocedural anticoagulation

Answer

No anticoagulation needed if TEE is normal

Answer

Aspirin only around the procedure

Answer

Anticoagulate for 1 week pre- and post-procedure

Answer

Anticoagulate only if CHA2DS2-VASc >=4

Practice question

A 70-year-old with AF >48 hours duration is planned for elective cardioversion. Guideline-concordant anticoagulation strategy?