A 47-year-old man presents for a second opinion regarding recently diagnosed atrial fibrillation (AF) that was detected on his routine yearly physical examination with his primary care physician. He is asymptomatic and has a CHADS-VASc risk score of 0 for stroke. His last known electrocardiogram was 1 year ago and did not show AF. His heart rate was controlled with drugs and apixaban was given and a cardioversion was performed that restored sinus rhythm, but an evaluation of the patient 1 month later demonstrated AF on his electrocardiogram. His physician suggested no further action be undertaken and he sought a second opinion.
J Cardiovasc Electrophysiol. 2019;29(12):1604-1606. © 2019 Blackwell Publishing