Emergency department cardioversion of acute atrial fibrillation

We applaud Ian Stiell and colleagues1Stiell IG Sivilotti MLA Taljaard M et al.Electrical versus pharmacological cardioversion for emergency department patients with acute atrial fibrillation (RAFF2): a partial factorial randomised trial.Lancet. 2020; 395: 339-349Google Scholar for their well designed and executed trial comparing two common methods of cardioversion for stable emergency department patients with acute atrial fibrillation. Their efficacy and safety results will better inform the shared decision-making conversations we undertake with our emergency department patients eligible for elective cardioversion.