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A 28-year-old member asked:

How effective is cardioversion for helping af?

6 doctor answers10 doctors weighed in
Dr. Charles Jost
Cardiology 36 years experience
Effective: If the patient is an appropriate candidate: symptomatic, af unresolvable by medication only, other medical factors the cardiologist will consider, then yes, cardioversion is effective for regaining normal sinus rhythm. Like all therapies, it is not 100% effective and must be evaluated for each individual patient.
Dr. Calvin Weisberger
Cardiology 51 years experience
Cardioversion: The shorter the duration of atrial fibrillation the more effective cardioversion is at converting the rhythm. When underlying cardiac pathology like mitral insufficiency or stenosis is present, keeping the patient out of atrial fibrillation or converting the rhythm is quite problematic.
Dr. Ilyas Colombowala
Cardiac Electrophysiology 19 years experience
A good start: Cardioversion is a great first step in managing AF. The procedure is generally very low risk and is highly effective at restoring normal rhythm. The hard part is maintaining normal rhythm. The heart tends to want to go back into AF without rhythm controlling medications or elimination of the trigger for AF (such as excess alcohol, uncontrolled blood pressure, sleep apnea, etc.).
Dr. Charles Jost
Cardiology 36 years experience
Can be very: Very effective if the af is short or medium duration and the left atrium is less than 4.5cm.
Dr. Joshua Buckler
Cardiology 19 years experience
Often first line: It can be very effective, although there in increasing use of and data to support atrial fibrillation ablation as an alternative.
Dr. Ilyas Colombowala
Cardiac Electrophysiology 19 years experience
A good start: Cardioversion is a great first step in managing AF. The procedure is generally very low risk and is highly effective at restoring normal rhythm. The hard part is maintaining normal rhythm. The heart tends to want to go back into AF without rhythm controlling medications or elimination of the trigger for AF (such as excess alcohol, uncontrolled blood pressure, sleep apnea, etc.).

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Last updated Nov 28, 2017

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