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A 40-year-old member asked:

What are the steps of an elective cardioversion?

3 doctor answers5 doctors weighed in
Dr. Irv Loh
Dr. Irv Lohanswered
Cardiology 50 years experience
Several important: Assuming it's for atrial fibrillation (af), it depends on duration of the af. If it's been a few days, anticoagulants to avoid systemic embolization, possible echocardiography to look for clots and determine chamber sizes for prognostic purposes. Good informed consent, modest fasting, establishing an IV for the medications, possibly an anesthesiologist, synch testing, and a good cardiologist!
Dr. Bennett Werner
Cardiology 45 years experience
Check list: I'm assuming this is for atrial fib? Full anticoagulation for at least 4 weeks. Nothing by mouth 4 hours before. Pads and monitor leads placed on chest and/or back. Iv line secured. Iv sedation. Synchronized cardioversion. Supervision till awake. Home.
Dr. John Garner
Cardiology 17 years experience
1, 2, 3: 1) we bring you into the procedural area and review your medical history. This lets us pick the best anesthesia strategy. 2) we perform an echocardiogram (tee) if necessary to exclude any clots that might fling loose when we deliver the shock 3) we put you fully to sleep, even if only briefly and deliver the shock that will (hopefully) restore normal rhythm. *) bonus 4: you go home!

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Last updated Sep 21, 2017

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