Question

A 64-year-old with new-onset AF and CHA2DS2-VASc 3 is scheduled for elective cardioversion. Anticoagulation strategy if AF duration unknown and TEE is not performed?

Accepted Answer

Anticoagulate ≥3 weeks before and ≥4 weeks after cardioversion

Answer

No anticoagulation if cardioversion <48 h

Answer

Aspirin only

Answer

Anticoagulate only after cardioversion

Answer

Bridge with heparin only peri-procedure

Practice question

A 64-year-old with new-onset AF and CHA2DS2-VASc 3 is scheduled for elective cardioversion. Anticoagulation strategy if AF duration unknown and TEE is not performed?