A 58-year-old with AF of unknown duration is hemodynamically stable and symptomatic. You plan cardioversion today. What is the recommended strategy?...

Question

A 58-year-old with AF of unknown duration is hemodynamically stable and symptomatic. You plan cardioversion today. What is the recommended strategy?

Accepted Answer

TEE-guided cardioversion with periprocedural and >=4 weeks of anticoagulation

Answer

Immediate cardioversion without anticoagulation

Answer

Cardioversion followed by aspirin for 4 weeks

Answer

Begin warfarin and defer cardioversion until INR therapeutic x1

Answer

Rate control only; cardioversion is contraindicated if AF duration unknown

us-abem MCQ (SBA): Atrial Fibrillation Cardioversion