Question

A 72-year-old with AF for 1 week needs elective cardioversion. He has been off anticoagulation. Best strategy?

Accepted Answer

TEE-guided cardioversion with immediate anticoagulation if no thrombus

Answer

Proceed to cardioversion now without anticoagulation

Answer

Start aspirin only for 1 week then cardiovert

Answer

No cardioversion; rate control only

Answer

Cardioversion after 1 week of DOAC without TEE

Practice question

A 72-year-old with AF for 1 week needs elective cardioversion. He has been off anticoagulation. Best strategy?