Electric external cardioversion (EEC) for permanent @entity955 ( @entity955 ) carries a risk of @entity1031 ( @entity1031 ). The use of transesophageal echocardiography (TEE) to guide the management of @entity955 may be considered a clinically effective alternative strategy to conventional therapy for @entity1 in whom elective cardioversion is planned. Therapeutic anticoagulation with novel oral anticoagulants (NOAC) is recommended for 3 to 4 weeks before and an anticoagulation life-long therapy is recommended after EEC to reduce @entity1031 , in @entity1 with high CHA2DS2-VASc score; however, only few data are currently available about safety of short-term anticoagulation with NOAC in the setting of EEC. @entity1 with increased risk of @entity1031 have not been adequately studied and the monitoring of anticoagulant effects can also have important benefits in case of drug interactions. We report a case of a 68-year old @entity1 with @entity955 from September 2014. Moderate @entity1002 was detected by echocardiographic exam. On the basis of a high @entity1031 risk, an anticoagulant therapy with @entity3925 , at the dose of 20 mg/day, was started. TEE showed a @entity715 in the left atrial appendage. This case demonstrates the utility of performing TEE prior than EEC in @entity1 with @entity296 other than @entity955 in therapy with NOAC. We underline the presence of significant pharmacodynamic interference of @entity3925 with other drugs such as @entity2051 .

Left Atrial Appendage @entity715 During Therapy with @entity3925 in Elective Cardioversion for Permanent XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'man'] @entity296 :: ('MESH:D009202', 'Disease') :: ['hypokinetic cardiomyopathy'] @entity2051 :: ('MESH:C036006', 'Chemical') :: ['oxcarbazepine'] @entity3925 :: ('MESH:C503223', 'Chemical') :: ['rivaroxaban'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolism', 'thromboembolic', 'thromboembolic events', 'TE'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation', 'AF'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombus'] @entity1002 :: ('MESH:D018487', 'Disease') :: ['depression of global left ventricular systolic function']
@entity955 :: (MESH:D001281,Disease) :: ['Atrial Fibrillation']
