Accepted
at 3:48 p.m. Aug, 01, 2025
by
mitchelnelson
Author:
gnigam
Type of change:
Updated content
Rationale for change
Per amboss, this strategy only applies to non-emergent Afib. If patient is unstable, then don't delay anticoagulation or cardioversion. It's important to clarify here since the emergent cardioversion is a major point emphasized on other cards.
Source: AMBOSS - https://next.amboss.com/us/article/GS0Baf?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=rhythm%2Bcontrol&guid=AcqP%2528OWZ%2525x&aid=b566793c-3b1e-47e9-9c87-0f96072b21c8&uid=icxeJXvaa&m=oEb09v&full_screen=true#Z396b536873238675723aba9976055560
Before
After
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Extra
Before cardioversion...
- Echo to check if thrombus has formed (can embolize)
-OR-
- ≥ 3 weeks anticoagulation with warfarin at INR 2-3 or non-vitamin K antagonist oral anticoagulants (e.g., apixaban, dabigatran, rivaroxaban, edoxaban) to prevent thromboembolic complications
- Echo to check if thrombus has formed (can embolize)
-OR-
- ≥ 3 weeks anticoagulation with warfarin at INR 2-3 or non-vitamin K antagonist oral anticoagulants (e.g., apixaban, dabigatran, rivaroxaban, edoxaban) to prevent thromboembolic complications
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