Top
20
Doctor insights on: What Medications To Hold Prior To Cardioversion

Share
1

1
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

See 1 more doctor answer
Dr. Samuel Hahn
115 doctors shared insights

Cardioversion (Definition)

Electrical conversion ...Read more


2

2
What medications should you stop prior to a cardioversion?

What medications should you stop prior to a cardioversion?

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 more

See 1 more doctor answer
3

3
What is the success rate of cardioversion with medication for arythmia ?

What is the success rate of cardioversion with medication for arythmia ?

Underlying issues: The success of cardioversion, whether electrical or with medication, depends on the physical condition of the heart as well as the severity of any other conditions such as heart/lung disease or diabetes. ...Read more

4

4
My father has persistent afib despite cardioversion and medication. What are some complications to take into consideration with ablations?

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

5

5
Is there something they will give me for anxiety when i'm doing the cardioversion?

Is there something they will give me for anxiety when i'm doing the cardioversion?

Cardioversion: You should be heavily sedated for a brief period of time or asleep completely for the procedure. ...Read more

See 1 more doctor answer
6

6
Is it possible to have cardioversion for inaproppriate sinus tachycardia? I'm at desperate measures to be cured!

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

7

7
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

See 1 more doctor answer
8

8
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

See 1 more doctor answer
9

9
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

See 2 more doctor answers
10

10
How risky is a cardioversion?

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

See 1 more doctor answer
11

11
Can cardioversion result in death?

Can cardioversion result in death?

Yes: There are complications of cardioversion such as stroke or rhythm problems that rarely could result in death. ...Read more

See 1 more doctor answer
12

12
What is synchronized 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

See 2 more doctor answers
13

13
Cardioversion wont work on me. Why?

Cardioversoin: Electrical cardioversion doesn't work in every situation and for instance atrial fibrillation with a very large left atrium is very difficult to cardiovert. Depends on what your situation is... ...Read more

14

14
How is a cardioversion administered?

With paddles: The patient is sedated in preparation for the shock. Paddles are placed on the chest once the patient is asleep, and a properly timed shock is delivered to restore normal rhythm. Sedation is allowed to wear off. ...Read more

See 2 more doctor answers
16

16
What's next if cardioversion didn't work?

AF Ablation & Rx: Intracardia arrythmia ablation. This procedure is done by an electrophysiologist cardiologist. And if that doesn't work the heart rate can be controlled by medication plus a blood thinner. ...Read more

See 1 more doctor answer
17

17
What is the function of an cardioversion?

What is the function of an cardioversion?

Restore: Restore regular heart rate and rhythm and to restore synchrony of the heart. ...Read more

See 1 more doctor answer
18

18
How many watts are used for cardioversion?

How many watts are used for cardioversion?

Cardioversion: We generally administer electrical cardioversion in watt-seconds or joules. For afib we usually use a synchronized shock of 100-200 watt-seconds, depending on patient size and other factors. For vfib at least 200 watt-seconds. Modern systems use a biphasic system. ...Read more

19

19
What purpose is dc shock for cardioversion?

What purpose is dc shock for cardioversion?

Reset button: Enough current applied through the chest wall and into the heart will basically depolarize all of the heart muscle at once. As the heart electrically recovers, "normal" electrical activity has a chance to return - basically it resets the electrical activity of the heart. ...Read more

See 1 more doctor answer
20

20
How effective is cardioversion in helping af?

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

See 2 more doctor answers