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An_251161 posted:
I have been diagnosed with afib starting on 2/20/2013.
I am supposed to be cardioconverted this Monday4/01/2013.
If I should delay having it doneand have it done in 2 weeks would that decrease the success rate?
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cardiostarusa1 responded:
Hi:

......"would that decrease the success rate?"

One would tend to think it shouldn't.

AND while on the subject/topic of cardioversion, here's an interesting quote from a cardiologist/electrophysiologist (replying to a question) over at the Medhelp.org Heart Forum -
"Believe it or not, there is no limit to the number of times you can be cardioverted. It is almost always successful. The question is how long it will last."

.

Additionally here, important to know and understand is that atrial fibrillation (AF) has various causes (also known to be associated with many cardiac conditons) or triggers, sometimes being a one time-only occurrence, or may/can come and go, or be chronic.

During AF, electrical signals in the atria occur in a very fast, uncontrolled, and chaotic manner so that the atria quiver instead of contract, producing ineffective and disorganized atrial contractions. These disorganized electrical signals then arrive at the ventricles in an irregular fashion.

As reported, AF is an independent risk factor for a brain attack/stroke (increasing the risk about 5-fold), and significantly increases all-cause mortality in most age groups. Additionally, some individuals with AF are at an increased risk of heart failure or cardiomyopathy (heart muscle disease).

There are a small % of individuals in which a reversible cause for AF can be readily identified, e.g., alcoholism, hyperthyroidism, or diabetes, and thus AF does not recur once the cause has been alleviated.

As applicable, goals for managing recurrent or chronic AF are to restore and maintain the normal atrial rhythm and pumping function, control the ventricular rate, prevent any correlating major adverse cardiac event.

AF Management

Correct any electrolyte imbalance/defficiency, in particular, potassium, magnesium. Consider cardioversion (externally shocking the heart into normal sinus rhythm, which may/can fail). Control the ventricular response. Consider anticoagulation (Coumadin) therapy, or new drugs that may be/are becoming/have become available.

Best of luck down the road of life.

Take care,

CardioStar*

WebMD member (since 8/99)

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