Question

A 58-year-old with nonvalvular AF and planned TEE-guided cardioversion has uncertain AF duration >48 h. What is recommended regarding anticoagulation?

Accepted Answer

Anticoagulate at least 3 weeks before and 4 weeks after cardioversion unless TEE excludes thrombus

Answer

No anticoagulation needed if TEE done

Answer

then anticoagulate periprocedurally and at least 4 weeks after

Answer

Aspirin alone is sufficient

Answer

Anticoagulate only after cardioversion

Practice question

A 58-year-old with nonvalvular AF and planned TEE-guided cardioversion has uncertain AF duration >48 h. What is recommended regarding anticoagulation?