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In the multivariable logistic regression analysis, a history of CAD, bleeding, and stroke / transient ischemic attack / thromboembolism remained independent predictors of referring a patient for TEE (odds ratio [OR], 3.92, P 0.001; OR, 7.92, P 0.001; and OR, 2.36, P = 0.02, respectively). In contrast, paroxysmal AF (OR, 0.31; P = 0.02) and hypertension (OR, 0.28; P 0.001) were indicators of refraining from TEE. Transesophageal echocardiography before cardioversion was more frequently performed in patients with a history of CAD