Cardioversion is a method to restore an abnormal heart rhythm back to normal.
Cardioversion can be done using an electric shock or medications.
Electric cardioversion may use a device that can be placed inside (internal) or outside (external) the body.
External electric cardioversion uses a device called a defibrillator.
Electrode patches are placed on the front and back of the chest and connected to the defibrillator.
After the defibrillator paddles (or large patches) are placed on your chest, the defibrillator is activated and an electric shock is delivered to your heart. This shock briefly stops all electrical activity of the heart. Then it allows the normal heart rhythm to return.
Sometimes more than one shock, or a shock with higher energy is needed.
The ICD detects life-threatening, rapid heartbeats. If such a heartbeat (arrhythmia) occurs, the ICD quickly sends an electrical shock to the heart to change the rhythm back to normal.
An ICD is most often placed in people who are at high risk of sudden death from dangerous arrhythmias, such as ventricular tachycardia or ventricular fibrillation. Often, they are placed in people who have had these dangerous abnormal heart rhythms before.
CARDIOVERSION USING DRUGS (PHARMACOLOGIC)
Cardioversion can be done using drugs that are taken by mouth or given through an intravenous line (IV). It can take several minutes to days for a this treatment to work. If you are given drugs for cardioversion in a hospital, your heart rate will be regularly checked.
Cardioversion using drugs can be done outside the hospital, most often for people with atrial fibrillation that comes and goes. However, you will need to be closely followed-up by a cardiologist.
As with electrical cardioversion, you may be given blood thinning medicines to prevent blood clots from forming and leaving the heart (which can cause a stroke).
Complications of cardioversion are uncommon, but may include:
Allergic reactions from medicines used
Blood clots that can cause a stroke or other organ damage
Bruising, burning, or pain where the electrodes were used
Worsening of the arrhythmia
People who perform external cardioversion may be shocked if the procedure is not done correctly. This can cause heart rhythm problems, pain, and even death.
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David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Michael A. Chen, MD, PhD, Assistant Professor of Medicine, Division of Cardiology, Harborview Medical Center, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.