Can patients with recent-onset atrial fibrillation be discharged from the Emergency Department after successful cardioversion?

Congratulations to my colleague Dr Adeel Chaudhary for publishing a BestBET on this topic in this month’s EMJ.

Thee-Part Question

In (adults with recent-onset atrial fibrillation who are stable after successful cardioversion) is (immediate discharge) as safe as (admission for a period of further observation)?

Clinical Bottom Line

Stable patients with recent onset of atrial fibrillation after cardioversion and stroke risk stratification can be discharged home with adequate follow-up after a period of observation. Level 2 evidence, grade B recommendation.

Full article: (i) Can patients with recent-onset atrial fibrillation be discharged from the Emergency Department after successful cardioversion? Emerg Med J 2013;30:81-83, and (ii) on the BestBETs website.

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