A 63-year-old with nonvalvular AF and CHA₂DS₂‑VASc 4 requires cardioversion after 36 hours of documented AF. Which anticoagulation strategy is appropr...

Question

A 63-year-old with nonvalvular AF and CHA₂DS₂‑VASc 4 requires cardioversion after 36 hours of documented AF. Which anticoagulation strategy is appropriate?

Accepted Answer

Anticoagulate for at least 3 weeks before and 4 weeks after cardioversion, or perform TEE-guided strategy with peri-procedural anticoagulation

Answer

Cardioversion without anticoagulation is acceptable if TTE is normal

Answer

Aspirin alone pre- and post-cardioversion

Answer

No post-cardioversion anticoagulation is necessary if NSR restored

Answer

Use dual antiplatelet therapy instead of anticoagulation

us-abim MCQ (SBA): AF-Cardioversion Anticoagulation

A 63-year-old with nonvalvular AF and CHA₂DS₂‑VASc 4 requires cardioversion after 36 hours of documented AF. Which anticoagulation strategy is appropriate?