Ideal timing of cardioversion for atrial fibrillation showed a J‐shaped curve with minimum adverse outcomes in patients with CV performed between 24‐48h after the onset of AF reported a recent study published in Clinical Cardiology. It is evident that electrical cardioversion (CV) is vital in rhythm management of atrial fibrillation (AF). However, there is less evidence for the optimal timing of CV. A recent multi‐center multi‐cohort study which evaluated the effect of AF episode duration on safety and efficacy of electrical CV demonstrated that Ideal timing of CV for AF showed a J‐shaped curve with minimum adverse outcomes in patients with CV performed between 24‐48h after the onset of AF.

Furthermore, study suggests that In patients with rhythm control strategy, delay in CV >48h displayed an increased risk for adverse outcomes. The study involved 2530 patients with 4356 CVs. Source:…