[Electrocardioversion of atrial fibrillation: executive summary of the German Cardiac Society position paper].

Electrical cardioversion (ECV) is an established and effective method for restoring sinus rhythm in patients with persistent atrial fibrillation. A position paper by the German Cardiac Society provides practical, evidence-based recommendations to guide clinical implementation of ECV and is summarized here. Key topics include appropriate patient selection, pre- and postprocedural management, anticoagulation strategies, sedation protocols, and technical considerations (such as electrode placement and energy levels). The document emphasizes the role of ECV as part of a broader rhythm control strategy. This paper aims to standardize and improve quality of care by translating current scientific knowledge and expert consensus into clear, practical clinical guidance.