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Updated: Jun 25, 2026

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Published on: February 26, 2013
The utilisation of a day-surgery unit for direct-current (DC) cardioversion of atrial fibrillation
J Moncrieff1, F G Dunn, K J Hogg
1Department of Cardiology, Stobhill Hospital, 133 Balornock Road, Glasgow, G21 3UK.
Insights
This study optimized direct-current cardioversion (DCC) for atrial fibrillation (AF) using a day surgery unit. This improved efficiency and increased the number of AF rhythm control procedures performed.
Area of Science:
- Cardiology
- Cardiac Electrophysiology
- Health Services Research
Background:
- Atrial fibrillation (AF) is a prevalent arrhythmia linked to significant morbidity and mortality.
- The optimal management strategy for AF, focusing on rate versus rhythm control, is still debated.
- External direct-current cardioversion (DCC) is a primary method for restoring sinus rhythm (SR) in persistent AF.
Purpose of the Study:
- To describe the implementation of a day surgery unit service for direct-current cardioversion (DCC) in atrial fibrillation (AF) patients.
- To enhance the efficiency and capacity for performing DCC procedures.
- To outline the rationale and methodology behind this service model.
Main Methods:
- Utilized the hospital's day surgery unit for the provision of DCC.
- Described the operational setup and procedural workflow for DCC within this setting.
- Collected data on service efficiency and procedure volume.
Main Results:
- The day surgery unit model facilitated a more efficient service for DCC.
- The new system allowed for an increased number of DCC procedures to be conducted.
- Specific advantages of the integrated service model were identified.
Conclusions:
- Implementing DCC within a day surgery unit is an effective strategy for improving AF management.
- This approach enhances service efficiency and increases procedural capacity for rhythm control in AF.
- The model offers significant advantages for patient care and resource utilization.
Abstract:
Atrial fibrillation (AF) is a common arrhythmia associated with increased morbidity and mortality. Current practice aims to restore sinus rhythm (SR), although the question of whether rate or rhythm control is the optimal approach for these patients remains unanswered. The most established method of restoring SR in patients with AF of duration greater than 48 hours is external direct-current cardioversion (DCC). This is a descriptive paper summarising how we utilised the hospital's day surgery unit for the provision of DCC for patients with AF in order to provide a more efficient service and allow an increased number of procedures to be conducted. We describe the reasons for setting up the service and the methods involved. We also summarise the advantages associated with this new system.
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