Why Must A Patient With Long Standing Atrial Fibrillation Be Anticoagulated Prior To DC Cardioversion?

Does cardioversion damage your heart?

Major risks of cardioversion include: Dislodged blood clots.

Some people who have irregular heartbeats have blood clots in their hearts.

Electric cardioversion can cause these blood clots to move to other parts of your body..

How long do you have to be on blood thinner before cardioversion?

You need to take a blood thinner for at least 3 weeks before and for 4 weeks after the procedure. This is to help prevent blood clot and stroke.

*Anticoagulation should normally be continued for 4 weeks after a cardioversion attempt except when AF is recent onset and no risk factors are present.

Should paroxysmal atrial fibrillation be anticoagulated?

International guidelines recommend anticoagulation therapy with warfarin to INR levels between 2.0-3.0 for the majority of patients with atrial fibrillation. Acetylsalicylic acid provides inferior protection and can only be recommended for a selected subpopulation of patients.

When should a fib be Cardioverted?

If you have an irregular heartbeat (you might hear it called arrhythmia, atrial fibrillation, or AFib), your doctor will probably suggest a treatment called cardioversion to help you get a normal rhythm back. If your heart beats too fast or unevenly, it can be dangerous.

What should you not do after cardioversion?

You should not attempt to work, exercise or do anything strenuous until your doctor tells you it is okay to do so. After your cardioversion procedure, your cardiologist or electrophysiologist will make sure that you are taking a blood-thinning medication (anticoagulant) for at least a month in most cases.