By rray, 26 January, 2024 Patient Type Header (Long) + anti-coag risk factors Does this Patient Type contain sub types? No Patient Type Details Either electrical or pharmacological cardioversion is acceptable safe and effective Electrical cardioversion is more effective but involves risk of anesthesia sedation If CHA2DS2 VASc 2 w contraindications to oral anticoagulation or high risk of major bleeding percutaneous LAAO is reasonable option Prevention of thromboembolism in setting of cardioversion Considerations for electric 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