BOF 145

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BOF: 145

A 67 year old male presents with a history of palpitations of 2 weeks duration. He is a known hypertensive controlled on a thiazide diuretic. He did not smoke but consumed 20 units of alcohol per week.

On examination he did not look distressed , pulse 100 beats per minute irregular in rhythm and volume , BP 130/80 JVP was not raised , heart rate 130 beats per minute irregularly irregular , no murmurs , lungs were clear , abdominal examination was unremarkable.

ECG confirmed atrial fibrillation.

The patient was commenced on warfarin and amiodarone and 4 weeks later was admitted for elective cardioversion which was successful.

Your house officer asks you for how long his warfarin should continue and you reply:

a)    Indefinitely

b)    Stop immediately

c)     2 weeks

d)    3 weeks

e)    4 weeks

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