Question

A 58-year-old woman with AF post-cardioversion asks about anticoagulation timing. Cardioversion occurred 24 hours after AF onset. CHA2DS2-VASc 3. What is recommended?

Accepted Answer

Antiplatelet therapy is sufficient

Answer

No anticoagulation needed

Answer

Anticoagulate for a minimum of 4 weeks after cardioversion

Answer

Anticoagulate for 7 days only

Answer

AF ≥48 hours or unknown duration requires ≥3 weeks pre- and 4 weeks post-cardioversion anticoagulation or perform TEE-guided strategy. Even with early cardioversion in higher-risk patients, ≥4 weeks post is advised. No therapy

Practice question

A 58-year-old woman with AF post-cardioversion asks about anticoagulation timing. Cardioversion occurred 24 hours after AF onset. CHA2DS2-VASc 3. What is recommended?