Question

A 62-year-old with AF for >48 hours is planned for elective cardioversion. Which anticoagulation plan is appropriate?

Accepted Answer

Therapeutic anticoagulation for at least 3 weeks before and 4 weeks after cardioversion

Answer

Proceed now without anticoagulation

Answer

Aspirin for 3 weeks then cardioversion

Answer

Cardioversion then anticoagulate only if CHA₂DS₂‑VASc ≥2

Answer

Heparin drip during procedure only

Practice question

A 62-year-old with AF for >48 hours is planned for elective cardioversion. Which anticoagulation plan is appropriate?