Atrial Fibrilation?!


Question: I am in Afib. I had a sucessfull cardioversion 6 days ago. Today I reverted back to Afib. Cardiologist is out of office until Tuesday. Does anyone know if this is common (reversion)? Will they try cardioversion again? Am I stuck with this?


Answers: I am in Afib. I had a sucessfull cardioversion 6 days ago. Today I reverted back to Afib. Cardiologist is out of office until Tuesday. Does anyone know if this is common (reversion)? Will they try cardioversion again? Am I stuck with this?

Cardioversion is usually the first thing they'll do in the setting of new-onset afib. There are many people that revert back to afib. Sometimes they will do another cardioversion, and place you on an anti-arrhythmic medication. There are several different ones they can try; Sotalol (Betapace), Tikosyn (Dofetilide), Rythmol (Propafenone), or Amiodarone.

There are some people that fail anti-arrhythmic therapy as well, and at that point can be referred to a rhythm specialist or electrophysiologist to see if they are a candidate for an ablation. This procedure is done to try to eliminate the source of the arrhythmia (basically they ablate or cauterize the part of the heart where the abnormal rhythm is coming from..)

Finally, some patients just decide to remain in afib and the goal is then rate control and long term anti-coagulation with Coumadin. Usually this is the plan for someone who is completely asymptomatic with the rhythm.

Afib, like most atrial arrhythmias is a nuisance of a rhythm and sometimes really hard to control.

Hope this helps somewhat.

Some people convert back and forth from A-fib. Are you taking your medication as prescribed by your cardiologist? How do you know you converted back to A-fib today, Do you have a Telemetry monitor on? Took an EKG?

My mom has had caridoversion. They had to put her on Coumadin as it did not work

If you are indeed in Atrial Fib, call an ambulance now and get to hospital as you need to be monitored, you may need further treatment

ask your dr to start you on amiodarone





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