Question 1

where is digoxin held before cardioversion?

Accepted Answer

To prevent problems: A patient on digoxin, especially of the level in the blood is a high, is more prone to get rhythm problems at the time of the shock. Holding the digoxin for a day or so tends to reduce the incidence of such problems.

Question 2

what is digoxin's role before a cardioversion?

Accepted Answer

Control Heart Rate: Digoxin is used, especially in cases of atrial fibrillation to control the heart rate, usually in conjunction with anticoagulation to thin the blood.  Cardioversion might then be performed once improved heart rate control had been acheieved with the medications, or because the medications were not sucessful.

Question 3

who can have cardioversion?

Accepted Answer

Almost anyone: If there is any compromise in bp, consciousness, breathing, anyone can be cardioverted.  If more chronic, then making sure there is a low probability of a clot inside the heart (that could be disrupted and cause an embolic event), sorting the need for prophylactic blood thinning to avoid a clot, making sure the atria (upper heart chambers) are not too large (reduced success) help select patients.

Question 4

how risky is a cardioversion?

Accepted Answer

Low Risk: This is a very low risk procedure if proceeded by a tee, transesophogael echocardiogram.

Question 5

what's next if cardioversion didn't work?

Accepted Answer

Medicine: As a large study showed (the affirm) study, people do fine even with atrial fibrillation as long as the heart rate is controlled with drugs and anticoagulants are given if indicated.

Question 6

what purpose is dc shock for cardioversion?

Accepted Answer

Reset button: Enough current applied through the chest wall and into the heart will basically depolarize all of the heart muscle at once. As the heart electrically recovers, "normal" electrical activity has a chance to return - basically it resets the electrical activity of the heart.

Question 7

why is it sometimes necessary to repeat cardioversion?

Accepted Answer

See Below: If the patient has recurrent, irregular heart rate.

Question 8

what is the definition or description of: cardioversion?

Accepted Answer

Shock the heart: Electrical conversion of irregular heart beat.

Question 9

what is the meaning of synchronized external cardioversion?

Accepted Answer

Cardioversion: When we shock ventricular fibrillation we just deliver the shock as soon as possible. When we cardiovert a rhythm like atrial fibrillation that kind of shock can cause ventricular fibrillation so we synchronize the shock to a safe part of the ECG complex. We call this synchronized cardioversion.

Question 10

what is the potential for failure that exists for a cardioversion?

Accepted Answer

Cardioversion: Well... Potential for failure is that it may not succeed in restoring a normal rhythm. Success rates depend on many factors and are best discussed with your personal physician who has access to all your health records...

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Where is digoxin held before cardioversion

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Where is digoxin held before cardioversion?

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What is digoxin's role before a cardioversion?

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Who can have cardioversion?

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How risky is a cardioversion?

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What's next if cardioversion didn't work?

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What purpose is dc shock for cardioversion?

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Why is it sometimes necessary to repeat cardioversion?

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What is the definition or description of: cardioversion?

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What is the meaning of synchronized external cardioversion?

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What is the potential for failure that exists for a cardioversion?

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