What is the minimum duration of weeks on anticoagulation in which you would consider performing a DCCV without the need for TEE, provided the patient is an excellent historian and otherwise reliable?
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3 Answers
Mednet Member
Cardiology · Baylor College of Medicine/ Texas Children's Hospital
If this were a board question, I agree with the guideline-listed answers here - it's 3 weeks. The most recent 2023 ACC AHA hours Atrial Fibrillation Guidelines by Joglar et al., PMID 38033089 are consistent:
- In patients with AF duration of ≥48 hours, a 3-week duration of uninterrupted therapeutic an...
Mednet Member
Cardiology · Baylor Scott And White Cardiology Consultants Of Texas
3 weeks of appropriately dosed OAC in reliable patients is adequate anticoagulation for Cardioversion without the need for TEE.