A 58-year-old with long-standing AF (duration 3 weeks) is planned for elective cardioversion. What is the recommended anticoagulation strategy?...

Question

A 58-year-old with long-standing AF (duration >3 weeks) is planned for elective cardioversion. What is the recommended anticoagulation strategy?

Accepted Answer

Therapeutic anticoagulation for at least 3 weeks before and 4 weeks after cardioversion

Answer

Cardioversion now; start anticoagulation afterward only if CHA₂DS₂-VASc ≥2

Answer

No anticoagulation needed if TEE is normal post-procedure

Answer

Aspirin for 1 week before and after

Answer

Low-dose apixaban for 1 week only

Atrial Fibrillation-Cardioversion — MRCP Part 1 MCQ