By vgreene, 15 January, 2015 Pharmacologic cardioversion<sup>24</sup> + peri-procedural anticoagulation<sup>23</sup> + rate-control tx: flecainide, dofetilide, propafenone, IV ibutilide [I/A] or amiodarone<sup>24</sup> [IIa/A]
By vgreene, 15 January, 2015 DC cardiovert [I/B] + peri-procedural anticoagulation.<sup>23</sup> Repeat/serial attempts based on sinus rhythm duration, sx, pt preference<sup>23</sup> +/- rate-control tx [IIa/C]
By vgreene, 15 January, 2015 Consider antithrombotic options<sup>21,22</sup> [IIb/C] based on stroke/bleed risks, renal fxn, pt preference [I/C]
By vgreene, 15 January, 2015 Anticoagulant (warfarin; apixaban, dabigatran, rivaroxaban)<sup>22</sup>
By vgreene, 15 January, 2015 Cath ablation<sup>19</sup> + peri-ablation anticoagulation<sup>17</sup> is an option; factor risk/benefit, pt preference.
By vgreene, 15 January, 2015 If undergoing cardiac surgery for other reasons: maze procedure reasonable for select pts<sup>19</sup> [IIa/C]
By vgreene, 15 January, 2015 Cath ablation of accessory pathway recommended for pre-excited AF<sup>19</sup> [I/C]