0
ARTICLE |

Anticoagulation for Cardioversion of Atrial Fibrillation-Reply

John R. Schlicht, PharmD, MBA; Khalid Naqi, MD; William Cooper, MD, JD; B. Venkat Rao, MD
Arch Intern Med. 1996;156(16):1894-1895. doi:10.1001/archinte.1996.00440150155019.
Text Size: A A A
Published online

Carlsson and Tebbe mention several important points. Based on our study at a single institution, it is impossible to conclude that physicians throughout the United States are not routinely following the ACCP's recommendations regarding anticoagulation and cardioversion of atrial fibrillation, although our data are consistent with practices in Germany. Carlsson and Tebbe reported that only 48% of patients were receiving therapeutic anticoagulation at the time of cardioversion; it seems reasonable to assume that if patients were included who did not receive anticoagulation for a full 3 weeks before and 4 weeks after cardioversion, this percentage would be further reduced.

However, they also note that few recommendations in medicine are based on such strong evidence as the ACCP's recommendations regarding anticoagulation and atrial fibrillation, a statement with which we cannot agree (even though we strongly support the recommendations). Although the ACCP's recommendations regarding anticoagulation and cardioversion of atrial fibrillation are based

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();