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Doctor insights on: Is Cardioversion Risky Is It An Established Procedure

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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

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

Happy to help but: Can you try to focus in on the question but limited too much information, as otherwise it's unclear as to exactly what your question is. If you feel like it is rather complex, consider a formal consultation through HealthTap Prime. ...Read more

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Dr. Samuel Hahn
111 doctors shared insights

Cardioversion (Definition)

Electrical conversion ...Read more


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Is cardioversion risky? Is it an established procedure?

Is cardioversion risky? Is it an established procedure?

Shocks the heart: Cardioversion is the process of shocking the heart, usually to get it to stop some type of arrhythmia (or irregular heartbeat) and resume a regular heart beat ... If used when the heartbeat is regular, it can cause an arrhythmia that may be life-threatening, such as ventricular fibrillation ... ...Read more

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What diagnostic procedure would you expect prior to direct current cardioversion?

What diagnostic procedure would you expect prior to direct current cardioversion?

Depends: This would not apply to an emergency situation. Obviously, an electrocardiogram is done in all patient requiring cardioversion. Also, echocardiogram in most. Additional studies may be done based on situation/diagnosis. For example, in patients with atrial fibrillation, a transesophageal echocardiogram maybe needed. ...Read more

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

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

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. ...Read more

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

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

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. ...Read more

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Cardioversion - how long do I need to be on blood thinners before I have the procedure done? I've had atriol fibrulation for approx 2 months

Cardioversion - how long do I need to be on blood thinners before I have the procedure done? I've had atriol fibrulation for approx 2 months

Upon : Upon onset of atrial fibrillation, it will be important for you to be on blood thinners for 4 to 6 weeks to ensure there are no blood clots present in the heart prior to procedure. If there is a blood clot in your heart during the cardioversion procedure, the risk for heart attack and stroke are very high. While on blood thinners, you will have regular appointments to have your blood drawn to ensure therapeutic ranges in the blood. The following blood tests will be assessed: protime and inr, which test how think your blood is. If at anytime, your blood levels are not in therapeutic range (too high - high risk of bleeding or too low - high risk for clot), your dosage of blood thinners will be adjusted. ...Read more

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How risky is a cardioversion?

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

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Who can have cardioversion?

Who can have cardioversion?

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. ...Read more

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How long is a cardioversion?

Less than 30 minutes: Sedation is given to the patient and an electrical shock is then given to cardiovert the heart back into a regular rhythym.This procedure usually is quite guick lasting in total 30 minutes or less. Delivery of the shock takes 2 seconds and then waiting to see if the rhythym has converted from one shock or reguires several more takes time. Time is then needed for the patient to be fully awake. ...Read more

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What is a sync cardioversion?

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 more

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