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Doctor insights on: Where Is Digoxin Held Before Cardioversion

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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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Dr. Matthew Whitbeck
283 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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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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In the 24hrs before a heart catheter I was given 7catapress, 2lopressor, lisinoprill, lasix, (furosemide) potassium, could this induce vfib?

In the 24hrs before a heart catheter I was given 7catapress, 2lopressor, lisinoprill, lasix, (furosemide) potassium, could this induce vfib?

Myocardial ischemia: Ventricular fibrillation is a heart rhythm problem that occurs when the heart beats with rapid, erratic electrical impulses, making it is unable to pump efficiently. It is usually associated with myocardial ischemia ( heart attack). ...Read more

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When serelaxin gets fda approval can this cardiovascular prescription be used as a preventative front line defense before any heart failure event takes place?

When serelaxin gets fda approval can this cardiovascular prescription be used as a preventative  front line defense before any heart failure event takes place?

No way to tell: Can not tell until a medication gets approved and we see what it has been shown to benefit and what risks it has and we can judge how to use it. ...Read more

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Why defibrillation is done till a patient is on flatline?

Why defibrillation is done till a patient is on flatline?

Defibrillation: Actually, we don't defibrillate when a patient is flat-lined. That is a tv thing. We can only use the defribrillator, when someone is in ventricular fibrillation (vf), thus the term, defibrillation. Vf is an abnormal rhythm, and is not resulting in a pulse, so there is no blood pressure. When a person has asystole, or a flatline, we use chemicals like Atropine to try and get the heart to start. ...Read more

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When in the heart cycle is the shock delivered during cardioversion?

When in the heart cycle is the shock delivered during cardioversion?

Sync or non-sync: It depends whether it is synchronous or asynchronos. Synchronous is when the shock is delivered on the qrs portion of the heart cycle - it is when the heart depolarises. Asynchronous cardioversion can occur anywhere on the heart cycle. ...Read more

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Why would the implantable cardioverter-defibrillator not start a pacemaker when the pacemaker shut off?

Why would the implantable cardioverter-defibrillator not start a pacemaker when the pacemaker shut off?

???: I think there may be some confusion. An implanted cardio-verter defibrillator delivers a shock when certain rhythms are detected per the parameters or threshholds set by the cardiologist. The pacemaker paces the heart - the pacemaker would only 'shut off' if it was end of life, i.e. Expired battery. The icd is a pacemaker and a defibrillator and they serve two functions, both tied to heart rhythm. ...Read more

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How many times is a person generally shocked or defibrillated before the doctors determine it isn't working?

How many times is a person generally shocked or defibrillated before the doctors determine it isn't working?

As many times: There is no right or wrong amount of shocks here -- since this is desperate times and it would be completely the call of the managing physician at the time -. ...Read more

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How many seconds is the length of the pause categorized dangerous and must wear a pacemaker?? sometimes i was pause when my heart fibrilation.

How many seconds is the length of the pause categorized dangerous and must wear a pacemaker?? sometimes i was pause when my heart fibrilation.

ACCF recommendations: Generally, if there is a sustained P wave duration (long first beat) of more than 120msec, atrial pacing is recommended in this situation. But the American College of Cardiology Foundation recommends that permanent pacing is not recommended to prevent Afib in the absence of another indication for a pacemaker, but does recommend one for patients with Afib and slow heart rate ( ...Read more

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After a heart transplant surgery, what happens to the heart that is taken out?

After a heart transplant surgery, what happens to the heart that is taken out?

Pathology: The old heart is taken to pathology where doctors try to see if they can find reasons why it failed. Sometimes, with the patient permission, doctors will also conduct research on it. ...Read more

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Before suctioning an intubated patient hooked to mechanical ventilator, is it right to increase the fio2 to 100% to hyperoxygenate the patient?

Before suctioning an intubated patient hooked to mechanical ventilator, is it right to increase the fio2 to 100%  to hyperoxygenate the patient?

Usually: That is usually the norm because, you are technically suctioning out air (and thus oxygen) from the lung when you suction. In all reality, does it affect oxygenation that much? Probably not. But, turning up the oxygen to 100% for a few seconds usually causes no harm. ...Read more

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Just found out the insulin taken when necessary is the shorter acting version. When is the longer acting version prescribed to a patient. Helpful?

Just found out the insulin taken when necessary is the shorter acting version. When is the longer acting version prescribed to a patient. Helpful?

Insulin: At your age you are most likely to have diabetes without your pancreas making enough insulin. What dose of insulin are you taking? How often are you checking your blood sugar? Are you taking any non-insulin medications for diabetes? If you can please let me know the answers to these questions. ...Read more

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Is a transeptal puncture required to access the left ventricular during an EP study for ventricular tachycardia? If so, is it as risky as A-fib?

Is a transeptal puncture required to access the left ventricular during an EP study for ventricular tachycardia? If so, is it as risky as A-fib?

If the tachycardia: is originating from a left sided focus either transeptal approach or retrograde approach across the aortic valve would be necessary. Any time you are intervening on the left side there are slightly increased risks but in experienced hands this is no more concerning than any other interventional procedure. ...Read more

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If atrial fibrillation, after aortic valve replacement (in female 79), how is this usually corrected? Bisoprolol, metoprolol , sotalol already tried.

If atrial fibrillation, after aortic valve replacement (in female 79), how is this usually corrected? Bisoprolol, metoprolol , sotalol already tried.

Cardioversion?: Initially with rate control and anti-coagulation. If the atrial fibrillation is causing you symptoms, then a controlled and timed shock to the heart, called cardioversion, can be administrated tito regulate your heart. This is an outpatient procedure. Discuss with your doctor. ...Read more

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Why digoxin is absolutely contraindicated in a case of ventricular fibrillation?

Why digoxin is absolutely contraindicated in a case of ventricular fibrillation?

Let me help myou: Digoxin is a heart stimulant with a very narrow range of safe doses. Ventricular tachycardia is very common adverse side effect of digoxin, and would likely make this condition worse or increase the frequency of the episodes. Stimulating a heart that is already beating too fast (tachycardia) could be fatal. Good luck. ...Read more

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Patient has survived from ami, rescue angioplasty followed by cardiac arrest? At present basal creps positive. What does it mean?

Patient has survived from ami, rescue angioplasty followed by cardiac arrest? At present basal creps positive. What does it mean?

Unknown: Creps is not a usual medical term. The disease process is well known and with good care and choices can be good long term. No smoking weight control, cardiac rehab. ...Read more

Dr. Andrew Seibert
78 doctors shared insights

Lanoxicaps (Definition)

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


Dr. Eric Weisman
86 doctors shared insights

Lanoxin (Definition)

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