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Topic: Cardioversion



  
 Cardioversion
Special cardioversion pads are placed on your chest and back (or alternatively, both pads can be placed on the front of the chest).
Electrical cardioversion (also known as "direct-current" or DC cardioversion) is a procedure whereby a synchronized (perfectly timed) electrical shock is delivered through the chest wall to the heart through special electrodes or paddles that are applied to the skin of the chest and back [Figure 2].
Most elective or "non-emergency" cardioversions are performed to treat atrial fibrillation or atrial flutter, benign heart rhythm disturbances originating in the upper chambers (atria) of the heart.
http://www.naspe-patients.org/patients/treatments/cardioversion.asp   (1369 words)

  
 Cardioversion
Less often, internal cardioversion is needed to treat atrial (upper heart chamber)arrhythmias.
This device is used for treating ventricular (lower heart chamber) arrhythmias, such as ventricular tachyarrhythmias or fibrillation.
The doctor then delivers an electrical shock from a defibrillator to the heart using paddles on the patient's chest.
http://adam.about.com/encyclopedia/007110.htm   (433 words)

  
 Cardioversion - Wikipedia, the free encyclopedia
Electrical cardioversion is used to treat heart problems such as atrial fibrillation and atrial flutter.
Through electricity or drug therapy, cardioversion converts heart arrhythmias to normal rhythms.
In the case of electrical shock, the patient lies flatly on the back with an electrical conducting pad placed on the lower back and the upper chest.
http://en.wikipedia.org/wiki/Cardioversion   (223 words)

  
 Abstracts: Transesophageal Electrophysiology: Cardioversion and Defibrillation
Cardioversion was deferred in six of eight patients with thrombus, and anticoagulation therapy was initiated.
Attempted cardioversion via the oesophagus (transoesophageal cardioversion) was compared with the transchest approach (transchest cardioversion) in a randomized trial of 100 consecutive patients with atrial fibrillation.
Cardioversion of atrial fibrillation to sinus rhythm is associated with a small but significant risk of thromboembolic events (average incidence, 1.5%; range, 0% to 7%).
http://www.cardiocommand.com/abstr_cardioversion.html   (16642 words)

  
 Cardioversion
Electrical cardioversion is a procedure whereby a synchronized electrical current (shock) is delivered through the chest wall to the heart through electrodes or paddles applied to the chest and back.
After the cardioversion, you may experience some minor chest discomfort or skin irritation.
Before the cardioversion, do not apply any lotions or ointments to your chest or back, as this may interfere with shock pad adhesive.
http://www.hpltd.net/tests_cardioversion.htm   (561 words)

  
 ACC/AHA/ESC Guidelines for the Management of Patients with Atrial Fibrillation: Management
Repeated cardioversion followed by prophylactic drug therapy in patients who relapse to AF without antiarrhythmic medication after successful cardioversion.
Before electrical cardioversion, prophylactic drug therapy to prevent early recurrence of AF should be considered individually for each patient.
The relative efficacy of various drugs differs for pharmacological cardioversion of AF and atrial flutter, yet many studies of drug therapy for AF have included patients with atrial flutter.
http://www.acc.org/clinical/guidelines/atrial_fib/VIII_management.htm   (9887 words)

  
 Medical Cardioversion of Atrial Fibrillation -- Alpert 117 (6): 1529 -- Chest
Medical Cardioversion of Atrial Fibrillation -- Alpert 117 (6): 1529 -- Chest
for use of this drug in medical cardioversion.
the role of antiarrhythmic drug therapy in medical cardioversion,
http://intl.chestjournal.org/cgi/content/full/117/6/1529   (1649 words)

  
 Cardioversion
Cardioversion refers to the process of restoring the heart's normal rhythm by applying a controlled electric shock to the exterior of the chest.
A condition in which the upper chamber of the heart quivers instead of pumping in an organized way.
When the heart beats too fast, blood no longer circulates effectively in the body.
http://www.rwjhamilton.org/Atoz/ency/cardioversion.asp   (551 words)

  
 Adult Health Advisor 2005.2: Electrical Cardioversion
Electrical cardioversion is used to make your heart beat normally by passing an electric shock through the chest to the heart.
You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.
For a planned cardioversion, follow any instructions your health care provider may give you.
http://www.med.umich.edu/1libr/aha/aha_electric_car.htm   (777 words)

  
 eMedicine - Synchronized Electrical Cardioversion : Article by Vijai V Chauhan, MD
Cardioversion of atrial fibrillation secondary to hyperthyroidism is 90% successful.
The success of internal defibrillation with low-energy shocks to treat VF and VT resulted in further studies of internal cardioversion for the treatment of atrial fibrillation.
Beck was the first to successfully use defibrillation on humans to treat ventricular dysrhythmia in 1947.
http://www.emedicine.com/med/topic2968.htm   (2088 words)

  
 Atrial fibrillation recurrence after internal cardioversion: prognostic importance of electrophysiological parameters ...
Internal atrial cardioversion is a useful technique to restore
Long-term outcome in patients with chronic atrial fibrillation after successful internal cardioversion.
EP guided treatment is of interest after internal atrial cardioversion.
http://heart.bmjjournals.com/cgi/content/full/87/5/443   (3638 words)

  
 Should I try cardioversion for atrial fibrillation?
Your doctor may use a test called transesophageal echocardiography to assess whether you have a clot in your heart that could cause a stroke.
You may have heart palpitations, chest pain, or shortness of breath, especially during physical activity or emotional stress.
After you are given a sedative, a doctor places metal paddles or patches on your chest wall.
http://www.bsneny.com/kbase/dp/topic/aa50578/dp.htm   (1049 words)

  
 JHBMC Healthy Directions: Electrical Cardioversion
While patients are under sedation, a special machine delivers an electrical current or currents to the heart through "paddles" applied to the chest.
Emergency equipment is always available to treat complications if they should arise.
Applying an ointment to this area will reduce the discomfort and encourage healing.
http://www.jhbmc.jhu.edu/healthy/healthconditions/cardio/cardiove.html   (424 words)

  
 Cardioversion Guided by Transesophageal Echocardiography: The ACUTE Pilot Study: A Randomized, Controlled Trial -- ...
Transesophageal echocardiographyguided approach to cardioversion of atrial fibrillation.
Patients with atrial fibrillation were randomly assigned to receive either cardioversion with conventional therapy or cardioversion guided by transesophageal echocardiography (TEE) with brief anticoagulation therapy.
Cost effectiveness of TEE-guided cardioversion with anticoagulation compared to conventional therapy in patients with atrial fibrillation [Abstract].
http://www.annals.org/cgi/content/full/126/3/200   (5699 words)

  
 Lack of prevention of heart failure by serial electrical cardioversion in patients with persistent atrial fibrillation ...
Long-term outcome of electrical cardioversion in patients with chronic atrial flutter.
Electrical cardioversion was performed without antiarrhythmic drug pretreatment.
successful cardioversion and developed an exacerbation of heart
http://heart.bmjjournals.com/cgi/content/full/82/4/486   (4030 words)

  
 Indian Pacing and Electrophysiology Journal - Alt
However the use of single lead catheters with a shock array position proximal in the right atrium and distal in the left pulmonary artery has contributed to facilitate the procedure of internal cardioversion of atrial fibrillation considerably.
(1992) A randozimed comparison of external and internal cardioversion of chronic atrial fibrillation.
Currently ongoing studies assess the value of the combined Swan-Ganz thermodilution and cardioversion-catheter in the postoperative ICU-setting.
http://www.ipej.org/0202/alt.htm   (1703 words)

  
 Having Cardioversion to Correct Abnormal Heart Rhythms
Defibrillation is often used to treat much more difficult to convert arrhythmias.
Your doctor may want to give you blood thinners prior to and for a period after the procedure.
The procedure restores the normal heart rate and rhythm, allowing the heart to pump more effectively.
http://my.webmd.com/content/pages/14/81969.htm?lastselectedguid={5FE84E90-...   (397 words)

  
 Cardioversion
If you have urgent cardioversion, you may still be unaware of the pain involved, or you may feel a jolt that some people liken to a kick in the chest.
Cardioversion can be done as an elective (scheduled) procedure, or may be done urgently if a dysrhythmia is immediately life threatening.
Non-emergency cardioversion may be used to treat the following conditions:
http://www.stjohn.org/HealthInfoLib/HGArticle.aspx?ArticleID=14784   (805 words)

  
 Introduction of nurse led DC cardioversion service in day surgery unit: prospective audit -- Currie et al. 329 (7471): ...
American College of Cardiology/American Heart Association clinical competence statement on invasive electrophysiology studies, catheter ablation, and cardioversion: a report of the American College of Cardiology/American Heart Association/American College of Physicians—American Society of Internal Medicine Task Force on clinical competence.
timing of cardioversion in response to changing clinical circumstances,
Reference guide to consent for examination or treatment.
http://bmj.bmjjournals.com/cgi/content/full/329/7471/892   (1457 words)

  
 Management of Newly Detected Atrial Fibrillation: A Clinical Practice Guideline from the American Academy of Family ...
Management of atrial fibrillation: review of the evidence for the role of pharmacologic therapy, electrical cardioversion, and echocardiography.
cardioversion, no differences in the end points of stroke, transient
therapy before electrical cardioversion does not improve the
http://www.annals.org/cgi/content/full/139/12/1009   (5677 words)

  
 Oral amiodarone increases the efficacy of direct-current cardioversion in restoration of sinus rhythm in patients with ...
Oral amiodarone increases the efficacy of direct-current cardioversion in restoration of sinus rhythm in patients with chronic atrial fibrillation -- Capucci et al.
study, we assessed the effectiveness of electrical cardioversion
Oral amiodarone increases the efficacy of direct-current cardioversion in restoration of sinus rhythm in patients with chronic atrial fibrillation
http://eurheartj.oxfordjournals.org/cgi/content/abstract/21/1/66   (712 words)

  
 Cardioversion
If done as an elective procedure, the patient should be sedated before cardioversion begans.
It is the treatment of choice if the patient has a hemodynamically unstable tachydysrhythmia.
generally the care for a patient tells cardioversion is the same as for the fibrillation.
http://rnbob.tripod.com/cardiov.htm   (617 words)

  
 Atrial Fibrillation Treatment: Ablation Treatment, Atrial Fibrillation Cardioverion, AF Suppression and Medication
cardioversion, two external paddles are placed on the patient’s chest or on the chest and back.
Cardioversion can be done through medication or through electricity.
cardioversion uses a similar approach, but instead of using paddles on the outside of the body, a small wire (called a catheter) is inserted through a vein to the heart.
http://www.aboutatrialfibrillation.com/treated.html   (496 words)

  
 The Cardioversion Network-Recent Clinical Findings
A recent study by the Cleveland Clinic demonstrated a significant reduction in average energy required for successful cardioversion of atrial fibrillation and atrial flutter.
Cardioversion Thresholds of Atrial Fibrillation and Atrial Flutter Using an External Biphasic Waveform Defibrillator.
Mark Niebauer et al of the Cleveland Clinic Foundation, Cleveland, Ohio, presented the results at the 21st Annual Scientific Sessions of the North American Society of Pacing and Electrophysiology in Washington, DC, May 17-20, 2000 in an abstract session.
http://www.cardioversions.com/article3625.shtml   (165 words)

  
 Cardioversion - Page 1 - HeartCenterOnline:
During the procedure, the patient will receive either
Alternatively, cardioversion may also be accomplished with medications.
', CAPTION, 'antiarrhythmic');" ONMOUSEOUT="return nd();">antiarrhythmic drugs after cardioversion.
http://heart.healthcentersonline.com/arrhythmiatreatment/cardioversion.cfm   (321 words)

  
 Invasive Procedures - Cardioversion
Cardioversion uses specific doses of energy in the form of a shock to the outside of your chest to correct the arrhythmia.
A procedure called cardioversion is an attempt to return your heart to a normal rhythm.
You will remain connected to a heart monitor for the procedure.
http://www.advocatehealth.com/system/info/library/articles/heartcare/invasive/cardver.html   (298 words)

  
 ACLS.net Synchronized Electrical Cardioversion Algorithm
By using this site you agree to the terms and conditions.
It is essential thatACLS Providers know the indications for synchronized electrical cardioversion and receive proper training on the equipment their institution uses before attempting to perform this intervention.
Unless otherwise specified in the table below, successive energy levels are *100J, and up to *200J, *300J, *360J, if needed.
http://www.acls.net/newalgo/cardioversion.htm   (128 words)

  
 Atrial Fibrillation Cardioversion
Early cardioversion ok if cleared with TEE first
Admission is standard of care in U.S. Not admitted in Europe and Canada
http://www.fpnotebook.com/CV7.htm   (139 words)

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