Question

A 68-year-old with AF presents for cardioversion; on apixaban 2.5 mg BID but does not meet dose-reduction criteria. Best course?

Accepted Answer

Increase to apixaban 5 mg BID if no reduction criteria, and ensure adequate anticoagulation period or TEE guidance

Answer

Proceed; any dose is acceptable pre-cardioversion

Answer

Switch to aspirin

Answer

Hold all anticoagulants pre-procedure

Answer

Switch to dabigatran 75 mg BID regardless of renal function

Practice question

A 68-year-old with AF presents for cardioversion; on apixaban 2.5 mg BID but does not meet dose-reduction criteria. Best course?