In patients presenting to the hospital with atrial fibrillation of >/= 48 hours and are started on anticoagulation, provided they spontaneously convert with AV nodal blocking agents but then revert back into AF, would you need LAA imaging before a rhythm control strategy with AADs or cardioversion?

Does the “48-hr” criteria reset itself after the patient reverts back into atrial fibrillation?

Answer from: at Community Practice

I would approach this the same way as if the patient had never spontaneously converted. There is a risk of stroke with chemical as well as electrical cardioversion, so should factor in CHA2DS2-VASc when making that decision. If CHA2DS2-VASc is 0 and no other high-risk features (rheumatic disease, HC...

Comments

at The George Washington University Hospital
No, simply wait 10 -14 days [on DOAC]; then instit...

at Cardiology Consultants Of Philadelphia Pc
Agree with above. The treatment of AF has become s...

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In patients presenting to the hospital with atrial fibrillation of >/= 48 hours and are started on anticoagulation, provided they spontaneously convert with AV nodal blocking agents but then revert back into AF, would you need LAA imaging before a rhythm control strategy with AADs or cardioversion?

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