“…A prolonged (>90 days) pre‐ECV duration of AF was a further, univariate negative predictor of the immediate success rate of ECV. This result reinforces the need to attempt early ECV to obtain higher immediate and delayed success rates, 16 although, in our experience, ECV was successful, at least short‐term, even in some patients who underwent the procedure 1 year after the onset of AF. It might be hypothesized that the reduced immediate efficacy of ECV in our older patients was the consequence of their higher prevalence of comorbid conditions such as COPD, which, using univariate analysis, was associated with a significantly lower success rate of ECV.…”