A 65-year-old with persistent AF 48 hours is planned for elective cardioversion. He has no anticoagulation on board, normal TTE, and stable vitals. W...

Question

A 65-year-old with persistent AF >48 hours is planned for elective cardioversion. He has no anticoagulation on board, normal TTE, and stable vitals. What is the best next step to minimize embolic risk?

Accepted Answer

Anticoagulate for at least 3 weeks before cardioversion

Answer

Proceed to cardioversion now without further testing

Answer

Start IV heparin only at the time of cardioversion

Answer

Begin amiodarone and cardiovert in 24 hours

Answer

Start clopidogrel 75 mg daily for 3 weeks

us-usmle-step-1 MCQ (SBA): Atrial Fibrillation

A 65-year-old with persistent AF >48 hours is planned for elective cardioversion. He has no anticoagulation on board, normal TTE, and stable vitals. What is the best next step to minimize embolic risk?