Question

A 72-year-old woman has newly diagnosed AF and plans for elective cardioversion. AF duration is unknown. What is the recommended anticoagulation strategy?

Accepted Answer

Anticoagulate for at least 3 weeks before and 4 weeks after cardioversion (or TEE-guided strategy)

Answer

No anticoagulation is needed before cardioversion

Answer

Start DOAC and cardiovert within 24 hours

Answer

Use aspirin until after cardioversion

Answer

Proceed with cardioversion if CHADS2 <= 1

Practice question

A 72-year-old woman has newly diagnosed AF and plans for elective cardioversion. AF duration is unknown. What is the recommended anticoagulation strategy?