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©2013 UpToDate ® Print Email Technical skills necessary to perform internal DC cardioversion Competency in performing diagnostic cardiac electrophysiology studies Ability to place electrode catheters in appropriate locations for intracardiac synchronization and DC cardioversion Familiarity with the catheter characteristics, synchronization, and DC cardioversion equipment Ability to confirm the timing and energy of the shock for safe shock delivery Adequate electrocardiographic and rhythm monitoring equipment Ability to handle complications, including the use of temporary pacing and defibrillation Proficiency in the appropriate use of sedation during procedures, including airway management Data from Tracy, CM, Akhtar, M, DiMarco, JP, et al. Circulation 2000; 102:2309.