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Are Transthoracic Echocardiogram’s indicated prior to a DCCV if a patient is on continous 3 week oral anticoagulation

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When transesophageal echocardiograms (TEE) should be utilized and when they are not indicated with relation to oral anticoagulation use
1. Paper (Review/CME article) produced in a formal AMA style complete with references and citations.
2. All articles should come from a (medical) peer-reviewed journal. Please use Pub Med or similar resources
3. All articles must be appropriately referenced in each assignment. 4. Writer must keep an electronic/hard copy of all articles or sources used to write all assignments.
5. All resources / articles should be published within the last 3-5 years

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