Question

A 70-year-old with AF of >48 hours duration is stable and scheduled for elective cardioversion. What anticoagulation strategy is recommended pre-cardioversion?

Accepted Answer

Oral anticoagulation for at least 3 weeks or TEE-guided strategy

Answer

None needed if rate controlled

Answer

Aspirin only

Answer

Heparin bolus immediately prior

Answer

DC cardioversion first, then decide on anticoagulation

Practice question

A 70-year-old with AF of >48 hours duration is stable and scheduled for elective cardioversion. What anticoagulation strategy is recommended pre-cardioversion?