AF-Cardioversion Strategy — EECC MCQ
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Correct answer: A — Proceed with TEE-guided cardioversion plus periprocedural anticoagulation
For AF >48 h or unknown duration-or when anticoagulation is subtherapeutic-TEE‑guided cardioversion with periprocedural anticoagulation is appropriate; then continue OAC ≥4 weeks. Proceeding without anticoagulation (B,E) risks embolism; delaying without OAC (C) is unsafe; aspirin (D) is inadequate.
Reference: ACC/AHA/ACCP/HRS Guideline (2023): Atrial Fibrillation