A member asked:

How long should i be on blood thinners before i have a cardioversion procedure? i've been in atriol fibrulation for approx. 2 months

3 doctors weighed in across 4 answers
Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Prior : Prior to recieving a cardioversion, your health care provider needs to ensure that there are no clots in the heart. If there is a clot in the heart at the time of the cardioversion, the patient is at high risk for suffering a stroke or a heart attack. Upon the diagnosis of arrhythmia, a patient will be placed on a blood thinning regimen, typically 4-6 weeks prior to undergoing a cardioversion. (a blood test can be performed to ensure your levels are in 'therapeutic' range). However, the presence of clots anywhere in your body and heart could cause the cardioversion procedure to be postposed. Talk to your health care provider about why your procedure has been held.

Answered 10/3/2016

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4 weeks: 4 weeks before and 3 weeks after at a minimum. This is the standard of care. Alternatively, you can undergo transesophageal echo. If that shows no clot, you can proceed immediately but still must take medication for at least 3 weeks afterward.

Answered 3/31/2013

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Dr. Geoffrey Rutledge answered

Specializes in Internal Medicine

Prior : Prior to recieving a cardioversion, your health care provider needs to ensure that there are no clots in the heart. If there is a clot in the heart at the time of the cardioversion, the patient is at high risk for suffering a stroke or a heart attack. Upon the diagnosis of arrhythmia, a patient will be placed on a blood thinning regimen, typically 4-6 weeks prior to undergoing a cardioversion. (a blood test can be performed to ensure your levels are in 'therapeutic' range). However, the presence of clots anywhere in your body and heart could cause the cardioversion procedure to be postposed. Talk to your health care provider about why your procedure has been held.

Answered 10/3/2016

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4 weeks: You must be therapeutically anticoagulated for 4 weeks before undergoing elective cardioversion and then stay on the medication for an additional 3 weeks at a minimum.

Answered 1/3/2019

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