By rray, 26 January, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text Preferred if pt can tolerate sedation desires rapid conversion or if not candidate failed pharm conversion Safe in pregnancy Consider pre tx w amiodarone flecainide ibutilide or propafenone to facilitate success 1 Use synchronized cardioversion to prevent VT Use biphasic 200 J initial energy to improve success of initial shock If initial shock unsuccessful or longer duration AF consider anterior post electrode vector orientation higher energy pre tx w antiarrhythmic drugs If pt has obesity manual pressure augmentation or escalation of energy may improve success Patient Type Detail Header (Long) Considerations for DC cardioversion: