Question 1

can i have cardioversion for paroxsysmal af if i had a pacemaker? or should i have ablation?

Accepted Answer

Either procedure is: safe for you with a pacemaker but you will need to review your history of treatment for afib with your health care provider to decide which one or both are appropriate for your management.

Question 2

which is better for an atrial flutter: cardioversion or ablation?

Accepted Answer

Define better please: What does better mean? Initial atrial flutter ablation success rates run around 80-85%. This for the typical flutter variety. A form of atrial flutter called atypical atrial flutter has a much lower success rate. But ablation is invasive, meaning there is inherent risk such as perforation of the heart, pericardial effusion, need for permanent pacemaker implantation, etc. Such risks are very rare

Question 3

is cardioversion or ablation more effective for treating an atrial flutter?

Accepted Answer

Cardioversion/ablati: Cardioversion is used to treat individual episodes if they don't recurr frequency, if chronic or recurrent atrial flutter is present, then ablation attempts to prevent the rhythm from recurring long term hopefully permanently.

Question 4

do you think atrial fibrillation would improve with an ablation? only remedy so far is cardioversion

Accepted Answer

Yes: RF ablation for atrial fibrillation and/or atrial flutter in good hands ought to be curative. Factors that determine success: electrophysiologists experience and record of success, duration of AF; size and function of Left atrium. Good luck!

Question 5

48 hour holter reports bpm 47 to 133. i had dc cardioversion for af. some ectopic beats - couplets, triplets and bigeminy and trigeminy.
i am fit and active. would electrophysiology study  and catheter ablation, be better than beta blockers?

Accepted Answer

: Catheter ablation would only be helpful if there was a specific area in your heart creating the ectopic beats. You should see an electrophysiologist to see if this is a possibility for you. If not, beta blockers would be the best choice. Best of luck to you!

Question 6

i have had cryo-ablation three cardioversions and still afib, now want to do an ablation with heat and start tikosyn.  would a pacemaker be better?

Accepted Answer

No: A pacemaker is not a treatment for atrial fibrillation. Depending upon your age bracket, forgoing further invasive treatment may be advisable as taking rate controlling medications plus chronic anticoagulant is more convenient for older patients or those with very enlarged atria.. Discuss this with your cardiologist.

Question 7

acute onset atypical atrial flutter (many prior ablations, including afib) 9 days ago & clot found on watchman, so cardioversion aborted after tee. is mild stationary bike exercise helpful or hurtful with a thrombus in the face of ongoing flutter?

Accepted Answer

: Discuss with your team. Are u an anti-tcoagulation?   Be certain you do not have a low blood/body K problem. Such as taking diuretics or you have primary aldosteronism. Ask about moving to a trial of high K diet such as DASH diet.

Question 8

what is a sync cardioversion?

Accepted Answer

Shock synchronized: The electric shock is synchronized to the heart beat to avoid shocking at the wrong time in the cycle which could make problems worse.

Question 9

cardioversion wont work on me. why?

Accepted Answer

Cardioversoin: Electrical cardioversion doesn't work in every situation and for instance atrial fibrillation with a very large left atrium is very difficult to cardiovert. Depends on what your situation is...

Question 10

how is a cardioversion administered?

Accepted Answer

Depends: In emergeny, it is given as soon as possible to save life. During elective case, patient will be sedated and comfortable, before electric energy is delivered through pads on the chest wall. Most people do not have pain or remember the electric shock.

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Doctor answers about:

Cardioversion vs ablation

A member asked:

Can i have cardioversion for paroxsysmal af if i had a pacemaker? or should i have ablation?

A member asked:

Which is better for an atrial flutter: cardioversion or ablation?

A member asked:

Is cardioversion or ablation more effective for treating an atrial flutter?

A member asked:

Do you think atrial fibrillation would improve with an ablation? only remedy so far is cardioversion

A member asked:

48 hour holter reports bpm 47 to 133. i had dc cardioversion for af. some ectopic beats - couplets, triplets and bigeminy and trigeminy. i am fit and active. would electrophysiology study and catheter ablation, be better than beta blockers?

A member asked:

I have had cryo-ablation three cardioversions and still afib, now want to do an ablation with heat and start tikosyn. would a pacemaker be better?

A member asked:

Acute onset atypical atrial flutter (many prior ablations, including afib) 9 days ago & clot found on watchman, so cardioversion aborted after tee. is mild stationary bike exercise helpful or hurtful with a thrombus in the face of ongoing flutter?

A member asked:

What is a sync cardioversion?

A member asked:

Cardioversion wont work on me. why?

A member asked:

How is a cardioversion administered?

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