"Wait and see" approach to the emergency department cardioversion of acute XXXX .

@entity1 @entity2613 @entity955
Objective. Acute @entity955 often spontaneously resolves. This study aimed to investigate the outcomes and satisfaction of an evidence-based @entity2613 protocol employing a "wait and see" approach. Methods. A prospective observational cohort study of adult @entity1 presenting to the Emergency Department with stable acute @entity955 was performed. @entity1 were excluded if they were considered to be unstable, need hospitalization, or poor candidates for @entity2613 procedural sedation. Routine care was provided on the index visit, and suitable candidates were discharged and asked to return to the @entity2613 the following day for possible electrical cardioversion. Outcome measures included spontaneous reversion to sinus rhythm, success of cardioversion, length of stay, adverse event and return visits for AF within 30 days, and @entity1 satisfaction. Results. Thirty five @entity1 encounters were analysed over a 21-month period. Twenty two of the 35 @entity1 (63%) had spontaneous resolution of @entity955 upon presentation for potential cardioversion. All of the remaining @entity1 underwent successful cardioversion to normal sinus rhythm without significant adverse events recorded. No @entity1 required hospitalization. Three @entity1 (9%) returned to the @entity2613 within 30 days for recurrence of @entity955 . All @entity1 were reported to be "very satisfied" with this approach. Conclusion. A "wait and see" approach to the @entity2613 electrical cardioversion of @entity955 showed that almost two-thirds of @entity1 had spontaneous resolution without requiring cardioversion or observation in the @entity2613 or hospital. All @entity1 were successfully reverted to normal sinus rhythm and had a high degree of satisfaction.
