New-onset atrial fibrillation provoked by sepsis: anticoagulate or not?

Your elderly patient with sepsis develops new-onset atrial fibrillation that spontaneously converts to normal sinus rhythm. Should long-term anticoagulation be prescribed at discharge? No good data exist to guide this decision, but a vignette in NEJM provides a closer look at the arguments for and against initiation of a direct oral anticoagulant (DOAC)…