A 58-year-old presents with AF of 36 hours' duration, stable vitals, and no heart failure. What is the best approach to restore sinus rhythm today?...

Question

A 58-year-old presents with AF of 36 hours' duration, stable vitals, and no heart failure. What is the best approach to restore sinus rhythm today?

Accepted Answer

Perform synchronized electrical cardioversion now after initiating anticoagulation.

Answer

Defer cardioversion for 3 weeks of anticoagulation first in all cases.

Answer

Start amiodarone infusion and avoid cardioversion until 48 hours.

Answer

Cardiovert without any anticoagulation because onset

Answer

Use adenosine to cardiovert AF to sinus rhythm.

us-abem MCQ (SBA): Atrial Fibrillation-Early Cardioversion