Question

A 52-year-old with new atrial fibrillation is scheduled for elective direct‑current cardioversion. AF duration is >48 hours and TEE is not planned. What is required before cardioversion?

Accepted Answer

At least 3 weeks of therapeutic anticoagulation before cardioversion

Answer

No anticoagulation if rate controlled

Answer

Aspirin for 7 days before

Answer

Heparin drip during the procedure only

Answer

Dual antiplatelet therapy for 1 month before

Practice question

A 52-year-old with new atrial fibrillation is scheduled for elective direct‑current cardioversion. AF duration is >48 hours and TEE is not planned. What is required before cardioversion?