A 60-year-old with nonvalvular AF (CHA2DS2-VASc 3) scheduled for electrical cardioversion after 4 weeks of symptoms. Optimal anticoagulation strategy?...

Question

A 60-year-old with nonvalvular AF (CHA2DS2-VASc 3) scheduled for electrical cardioversion after 4 weeks of symptoms. Optimal anticoagulation strategy?

Accepted Answer

At least 3 weeks of therapeutic anticoagulation before and 4 weeks after cardioversion

Answer

No anticoagulation needed before cardioversion

Answer

Aspirin only before cardioversion

Answer

Anticoagulate 24 hours then proceed

Answer

Anticoagulation not needed after cardioversion if sinus rhythm restored

Atrial Fibrillation — MRCP Part 1 MCQ

A 60-year-old with nonvalvular AF (CHA2DS2-VASc 3) scheduled for electrical cardioversion after 4 weeks of symptoms. Optimal anticoagulation strategy?