Doctor insights on:
What Medications Should You Stop Prior To A Cardioversion
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
Speak to your doctor: There are no medications that routinely must be stopped prior to cardioversion. However, in certain cases, your doctor might wish you to hold meds that control heart rates from going too fast, to minimize the risk of causing excessively slow heart rates once you are back in a normal rhythm. ...Read moreSee 1 more doctor answer
After an episode of AF stopped by cardioversion, she has been given diltiazem. Will it stop further episodes of AF? Is it safe to take with irbesartan
Atrial fibrillation: 3 main strategies for AF: 1) medicines like diltiazem or beta blockers to control the heart rate from going fast in AF. These drugs do not prevent AF; they are generally safe but can lower BP and so may need to adjust other pills. 2) antiarrhythmic drugs (such as amiodarone, flecainide, dofetilide, and others) to prevent AF. 3) an ablation procedure to attempt to prevent AF ...Read more
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
Is it possible to have cardioversion for inaproppriate sinus tachycardia? I'm at desperate measures to be cured!
Cardioversion: If it is really a sinus tachycardia, it is unlikely to work by our present understanding. If its an ectopic that looks like sinus, maybe. I presume you've seen an electro physiologist about your state. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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