Question

A 55-year-old man with AF is cardioverted after 36 hours of symptoms. He is not anticoagulated. Which strategy is correct?

Accepted Answer

Anticoagulate for ≥3 weeks before and ≥4 weeks after cardioversion (or use TEE-guided strategy)

Answer

No anticoagulation needed if sinus rhythm restored

Answer

Aspirin alone post‑cardioversion

Answer

Heparin drip for 24 hours only

Answer

Anticoagulate for 1 week only

Practice question

A 55-year-old man with AF is cardioverted after 36 hours of symptoms. He is not anticoagulated. Which strategy is correct?