A 64-year-old with AF on warfarin (target INR 2-3) has INR 1.5 before cardioversion for AF duration 30 hours. Best approach?...

Question

A 64-year-old with AF on warfarin (target INR 2-3) has INR 1.5 before cardioversion for AF duration 30 hours. Best approach?

Accepted Answer

Proceed with TEE-guided cardioversion plus periprocedural anticoagulation

Answer

Proceed now without TEE or anticoagulation

Answer

Delay 3 weeks without any anticoagulation

Answer

Switch to aspirin before cardioversion

Answer

Cardioversion now then stop anticoagulation after 24 hours

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