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?

Answer from: at Community Practice

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 therapeuti...

Comments

at Baylor College of Medicine/ Texas Children's Hospital
A few other series to estimate TEE detected thromb...

Answer from: at Community Practice

3 weeks of appropriately dosed OAC in reliable patients is adequate anticoagulation for Cardioversion without the need for TEE.

Comments

at Midwest Cardiology
4 weeks is what I have followed in my practice.

at Barnabas Health
I am comfortable performing a DCCV in any patient ...

at Miami Va Healthcare System
Performing DCCV without TEE is low risk after anti...

at South Carolina Cardiology Consultants
Most of the textbooks say 3 to 4 weeks. But if you...

at Johns Hopkins University
3 weeks for sure. The evidence suggests that 3 wee...

Answer from: at Community Practice

3 weeks

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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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