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.