What is a cardioversion?

[SamAdmin]

If you have Atrial fibrillation (AF) you may have been offered a cardioversion, you maybe unsure of what to expect? A cardioversion is a procedure to convert your heart from AF back into normal (sinus) rhythm. This is achieved by administering a rhythm control medication (antiarrhythmic drug) by mouth or through the veins, both of these methods can take some time to take effect. However, a more efficient and quicker method is via the electric shock treatment, which at first sounds alarming but overall is usually the quickest and most successful treatment. The most appropriate form of treatment will be decided and discussed between you and your consultant.

For more information, please download the booklet: 'Cardioversion of atrial fibrillation'

UK and International: api.heartrhythmalliance.org...

US: api.heartrhythmalliance.org...

If you require any further information, please contact our Patient Services Team via the contact details below;

Patient Helpline: [phone]

Email: [e-mail]

Contact form UK: heartrhythmalliance.org/afa...

Contact form US: heartrhythmalliance.org/afa...

Kind regards

SamAdmin

[mjames1]

Thanks for the post on this important topic.

In the United States, you are typically offered an electrical cardioversion (ECV) within 24 hours of showing up at the emergency room (A&E ). From what I read here, it can sometimes be weeks or months before you can get an ECV in the UK unless you go private.

Studies have shown that a high percentage of people convert naturally within three days. So I think an immediate ECV like in the United States is often counterproductive because the procedure is not without risk.

On the other hand, waiting weeks or months to convert can also be counterproductive as the heart can start to remodel.

The sweet spot, according to my ep, would be getting an ECV by day seven, before afib turns from paroxysmal to persistent.

If this is not possible, ask about anti-arrhythmic drugs. But in any event, make sure your rate is controlled from day one. Toughing it out will not do you, or your heart any favors.

Jim

[Paulbounce]

Hi Sam - and newbies to afib.

There's nothing to a CV - having a filling is far worse. You are put out and won't know anything about it. Of course there are risks but the same applies to any medical procedure.

Newbies - go for it. It's a walk in the park. Been there, done it and have the tee shirt.

Paul