A 60-year-old with AF (duration 72 hours) is hemodynamically stable and being considered for elective cardioversion. Next best step?...

Question

A 60-year-old with AF (duration >72 hours) is hemodynamically stable and being considered for elective cardioversion. Next best step?

Accepted Answer

Anticoagulate for at least 3 weeks prior to cardioversion, or perform TEE-guided approach

Answer

Proceed with cardioversion today if rate controlled

Answer

Give a loading dose of amiodarone then cardiovert

Answer

Antiplatelet therapy only before cardioversion

Answer

No anticoagulation is needed post-cardioversion if sinus rhythm is restored

us-abim MCQ (SBA): Atrial Fibrillation