AF shock treatment?: Do people have the... - Atrial Fibrillati...

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AF shock treatment?

jillgloucester profile image
18 Replies

Do people have the shock treatment because Bisoprolol isn't working for them?

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jillgloucester
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18 Replies
Annekw profile image
Annekw

Hi Jill,Cardioversion or shock treatment is administered usually as soon as the patient is stable after an AF attack- about 48hrs-72hrs to get the heart into Normal Sinus Rhythm,this may be attempted several times ,depending on the Consultant in charge of your treatment.

jillgloucester profile image
jillgloucester in reply to Annekw

Oh, thanks for that...

When I had my first Af attack I was kept in hospital over night , they gave me a higher dose of bisoprilol which made my pulse lower etc..

Annekw profile image
Annekw in reply to jillgloucester

Hi Jill, yes you sometimes have to lower/higher the dose according to how the patient tolerates the drug.

I was started on 2-5mgs, daily it absolutely floored me,so my GP changed it to 1-25mgs daily which is fine for me!

Good luck!

jillgloucester profile image
jillgloucester in reply to Annekw

How long have you been on it?

jillgloucester profile image
jillgloucester in reply to jillgloucester

Oh,,. And you've not had an AF attack since? Have you ever had the shock treatment?

kiki1952 profile image
kiki1952 in reply to jillgloucester

I have been on bisoprolol since feb and I still have these episodes every 8 days and they last for 2 days. I am on 5mg.

jillgloucester profile image
jillgloucester in reply to kiki1952

Do you take Bisoprilol every day?

kiki1952 profile image
kiki1952 in reply to jillgloucester

Yes! I was on 7.5 but my blood pressure was low so now I am on 5mg

Annekw profile image
Annekw

Three years Jill.

jillgloucester profile image
jillgloucester in reply to Annekw

Oh! And you've not had an AF attack since? Have you ever had shock treatment?

Annekw profile image
Annekw in reply to jillgloucester

Ive only had one attempt at a Cardioversion, that was in Tenerife where I started with AF ,should have had another,but wouldn’t be able to fly home and by the time I got an appointment with a Cardiologist I’d gone back into sinus rhythm again!

Cardioversions work better the nearer to the AF attack rather than later on.

jillgloucester profile image
jillgloucester in reply to Annekw

Thank you,,, all good to know..

UScore profile image
UScore

When I went to A&E with AF, the Drs discussed whether to do the shock cardioversion, or give me Flecainide IV. They went with the later, so I've never had the shock.

Now I pop Flecainide (and bisoprolol) at the start of AF. If it doesn't work (it always has so far) then I expect the next stage will be the shock.

jillgloucester profile image
jillgloucester in reply to UScore

How long have you been doing this? Sounds a good system..

UScore profile image
UScore in reply to jillgloucester

Only a few months. The GP prescribed just bisoprolol. Then when I saw an EP Cardiologist they added Flecainide to the prescription.

I've only taken it once mind. But the pills are there in my wallet when I next need them.

I'm on bisoprolol, and when I first went to A&E they put me on a cocktail of drugs to try to get me into NSR. I think that is first option, then if that doesn't work they go to cardioversion. I have found since that getting grumpy and eating a whole chocolate cake does exactly the same thing (cure an AF attack) and am wondering whether it can be put on prescription :D

jillgloucester profile image
jillgloucester in reply to

What a great idea lol

fogducker2 profile image
fogducker2

Bisop didn't work I was shocked a year ago last July .put on 80mg Sotalol 2 x daily with Elequis 2 x 5 mg daily

no side affects and no incidents since. no alcohol,chocolate and coffee.

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