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Doctor insights on: Where Is Digoxin Held Before Cardioversion

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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

Dr. Matthew Whitbeck
285 Doctors shared insights

Digoxin (Definition)

It is a heart drug...A purified product of the foxglove plant. It has effects which include strengthening the contraction of the heart muscle, slowing conduction of the heart's electrical impulse through the av node and thereby helping to slow the heart rate during atrial fibrillation. Because of potential toxicity, its use has been largely replaced ...Read more


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Where is digoxin held before cardioversion?

Where is digoxin held before cardioversion?

Digoxin: Digoxin can cause some disturbances with electrical cardio version, we often stop the drug for a few days before depending on the situation. ...Read more

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What is digoxin's role before a cardioversion?

What is digoxin's role before a cardioversion?

Cardio version: Before cardio version we generally try to slow a rapid supra ventricular rhythm. Digoxin is one of the drugs we may choose to do this. It helps slow the rate by slowing conduction of impulses in the heart. We use other drugs also, so it's doctors choice which agent the believe is best for the situation. ...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 risky is a cardioversion?

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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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

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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

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Why is it sometimes necessary to repeat cardioversion?

Why is it sometimes necessary to repeat cardioversion?

See Below: If the patient has recurrent, irregular heart rate. ...Read more

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What is the meaning of synchronized external cardioversion?

What is the meaning of synchronized external cardioversion?

Shock: This is a procedure using patches placed on the skin over your heart. A synchronized "shock" is given at a particular time during the heart beat. The ideas to reset an abnormal heart rhythm, and regain normal rhythm. ...Read more

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What is the potential for failure that exists for a cardioversion?

Cardioversion: Well... Potential for failure is that it may not succeed in restoring a normal rhythm. Success rates depend on many factors and are best discussed with your personal physician who has access to all your health records... ...Read more

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Can a cardioversion kill you?

Unlikely: This is extremely unlikely. The worst-case scenario for a cardioversion is usually that it creates a worse rhythm. However, such a rhythm is in fact treated by (wait for it) a cardioversion, so you're already set up for the treatment. ...Read more

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How are cardioversion and defibrillation different?

Cardioversion: We use electrical cardioversion to convert tachyarrhythmias to normal rhythm when appropriate. When the rhythm we are shocking is atrial or ventricular fibrillation, we call the cardioversion defibrillation. ...Read more

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How much energy (in watts) is used in a cardioversion?

How much energy (in watts) is used in a cardioversion?

100-360 J: First a couple of definitions: energy is usually expressed in joules (j). Watts are a measure of the rate of energy used, 1 watt = 1 joule/sec. Most external cardioversions use between 100 and 360 joules (or 100-360 watt-sec). Internal defibrillators deliver about 20-45 j. ...Read more

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What are the treatments prescribed for recovery from cardioversion?

Rx: Antiarrythmic and, at times, Coumadin (warfarin) or new blood thinners such as pradaxa. ...Read more

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Should have cardioversion if fluid in lungs?

Should have cardioversion if fluid in lungs?

If it is the cause: Cardioversion is done for irregular heart beat that will form the lots in heat their dislocation will cause severe complications, irregular heart beat also make the heart inefficient pump then fluid may accumulating in the lung speak to your doctor who knows the reason. ...Read more

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Can cardioversion correct an abnormal heart rate and rhythm?

Can cardioversion correct an abnormal heart rate and rhythm?

It can: Cardioversion can be used to correct an abnormal rhythm such as atrial fibrillation. Sometimes, however, the procedure does not correct the situation. In such cases, medications may be necessary. ...Read more

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What are the joules for biphasic defibrillator cardioversion?

360 or less: The new biphasic defibrillator can be used to deliver up to 360 joules. This is used for heavy patients or refractory arrythmias. ...Read more

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Can cardioversion correct an abnormal heart rythym due to prolonged pr interval? Help please?

Cardioversion: Cardioversion is not a procedure we would expect to correct a prolonged PR interval. ...Read more

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Can I have cardioversion for paroxsysmal AF if I had a pacemaker? Or should I have ablation?

Can I have cardioversion for paroxsysmal AF if I had a pacemaker? Or should I have ablation?

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

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Is it possible that cardioversion correct an abnormal heart rythm due to prolonged pr interval?

Is it possible that cardioversion correct an abnormal heart rythm due to prolonged pr interval?

In general no: If the heart rhythm problem is any type of heart block (first degree av block, second degree av block, or complete heart block), cardioversion won't help. Having said that, certain types of cardiac rhythm problem (such as atrioventricular nodal reentrant tachycardia (avnrt)) can in rare cases look like a fast heart rhythm with a long pr interval. These a cardioversion could correct. ...Read more

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Should all heart tachycardias with rates over 150 have synchronized cardioversion as soon as possible?

Should all heart tachycardias with rates over 150 have synchronized cardioversion as soon as possible?

No not all: It depends on how the person is tolerating the rhythm; are they hypotensive, or in CHF or having chest pain? If so then there is no time to waste and if it is an non sinus rhytm then cardioversion chemically or electrically may be indicated. In a new born it may be a normal heart rate. ...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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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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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

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Cardioversion won't 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

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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

Dr. Lois Freisleben-Cook
81 Doctors shared insights

Lanoxicaps (Definition)

Lanoxicaps is a rhythm control agent which is a ...Read more


Dr. Jeffrey Satinover
89 Doctors shared insights

Lanoxin (Definition)

Lanoxin is a rhythm control agent which is a ...Read more