By rray, 26 January, 2024 Patient Type Header (Long) With HF, rhythm control preferred Does this Patient Type contain sub types? No Patient Type Details Assess EF Either DC or pharmacological cardioversion is acceptable safe and effective DC cardioversion is more effective but involves risk of anesthesia sedation Thromboembolic risks and considerations for anticoagulation still apply Consider catheter abl Anticoagulate based on CHA2DS2 VASc score DOACs preferred Prevention of thromboembolism in setting of cardioversion Considerations for DC cardioversion If hemodynamically stable or electric can t be performed use pharmacologic cardioversion Multiple medication options Once converted consider catheter ablation in appropriate pts Ablation is more effective than antiarrhythmic drugs for persistent and paroxysmal AF If not candidate for ablation prescribe meds for long term maintenance of SR Consider medical hx and drug drug interactions for choice Options include