A patient who has had a new onset of AF the day prior will undergo cardioversion that day. The primary care NP will expect the cardiologist to:
a. give clopidogrel after administering cardioversion.
b. administer cardioversion without using anticoagulants.
c. give warfarin and aspirin before attempting cardioversion.
d. give low-dose aspirin before administering cardioversion.
B
If the onset of AF has occurred within 48 hours, cardioversion can be done without anticoagulation. Clopidogrel is used in other cases for patients who cannot take aspirin. For patients with rheumatic mitral valve disease and AF or a history of systemic embolism, cardioversion plus aspirin is used. Warfarin is used in patients with one or more risk factors for stroke.
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