Doctor insights on:
Cardioversion Vs Ablation
Developed arythmia 18 months ago. Didn't have insurance at the time, so I let it go. Was still able to run, play soccer, swim. My Prime care physician recommended cardioversion....but that failed twice. Finally, Oct 1st of 2014, I had a 6 1/2 hour ablatio
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. ...Read more
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 ...Read moreSee 1 more doctor answer
Do you think Atrial Fibrillation would improve with an ablation? Only remedy so far is cardioversion
My father has persistent afib despite cardioversion and medication. What are some complications to take into consideration with ablations?
See below: The most common complication is recurrent AF despite successful ablation. A 2nd procedure will improve the odds but not to 100%. Pulmonary vein stenosis is a rare but serious complication which can be helped with percutaneous dilitation. Cardiac perforation with tamponade is very rare but potentially dangerous if unrecognized. Despite the above, the vast majority of patients do very well. ...Read more
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?
Timed shock: This is a cardioversion (shock) given to the heart that is timed to a certain point in the cardiac cycle so that the heart rhythm can be reset without causing further rhythm problems. This is the most common type of shock delivered for rhythms such as atrial fibrillation. ...Read moreSee 2 more doctor answers
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.). ...Read more
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. ...Read moreSee 2 more doctor answers
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. ...Read moreSee 2 more doctor answers
Cardioversion: Usually DC Cardioversion does not cause ST elevation if the Cardioversion is in a heart not inflamed or infarcted. Having said that, ST segment elevation could occur if the heart is injured by the current. ...Read more
Not usually serious: That type of rhythm problem is usually more of a nusance than serious. It can at times be hard to treat as far as preventing recurrences but except for the nusance aspect is usually pretty benign. It would be helpful to know the exact mechaism of the rhythm problem and the heart rate in answering your question. ...Read moreSee 1 more doctor answer
It depends: It is not typical to require a stress test after a cardioversion. Sometimes it is important to evaluate for possible underlying causes of a rhythm problem including coronary artery disease. At other times, it is important to evaluate for possible side effects to antiarrhythmic drugs via stress testing. ...Read moreSee 1 more doctor answer