A 76-year-old man with AF presents in stable condition after 3 days of symptoms and wants elective cardioversion. TTE shows no severe mitral stenosis;...

Question

A 76-year-old man with AF presents in stable condition after 3 days of symptoms and wants elective cardioversion. TTE shows no severe mitral stenosis; CHA₂DS₂-VASc = 4. Best strategy?

Accepted Answer

Anticoagulate for >=3 weeks before elective cardioversion or perform TEE-guided cardioversion with periprocedural and >=4 weeks of anticoagulation

Answer

Cardiovert now without anticoagulation

Answer

Start aspirin only

Answer

Heparin drip during cardioversion but no further therapy

Answer

No cardioversion; rate control only

us-abim MCQ (SBA): Atrial fibrillation (cardioversion anticoagulation)

A 76-year-old man with AF presents in stable condition after 3 days of symptoms and wants elective cardioversion. TTE shows no severe mitral stenosis; CHA₂DS₂-VASc = 4. Best strategy?