What to Expect: Preparing for a Cardioversion

• You should have nothing to eat or drink for at least 8 hours before the procedure.
  

 

• Take your regularly scheduled medications the morning of the procedure unless your practitioner has told you otherwise. Your medications should only be taken with enough water to get the tablets down. If you are diabetic, you should discuss your insulin or other diabetes medication dosing with your practitioner.
  

 

• Bring a list of all your medications with you.
  

 

• Before the cardioversion, do not apply any lotions or ointments to your chest or back, as this may interfere with the adhesiveness of the shocking pads.
  

 

• Most medical centers will not let you drive yourself home after receiving sedation/anesthesia; therefore, you should arrange a ride home that day.
  

 

• For the remainder of the day, you should not operate a car or heavy machinery or make any important decisions.
  

 

• After the cardioversion, you may experience some minor chest discomfort and/or skin irritation. An ointment can be applied to the area to reduce the discomfort.

 

What To Expect During Cardioversion

A nurse or technician will stick soft patches, called electrodes, on your chest and possibly on your back. Some shaving may be needed to get the patches to stick to your skin.

 

These patches are attached to a cardioversion machine. This machine records your heart's electrical activity. The machine also sends low-energy shocks through the patches to restore a normal heart rhythm.

 

Your nurse will use a needle to insert an intravenous (IV) line into a vein in your arm. Through this line, the doctor or nurse will give you medicine to make you fall asleep. While you're asleep, a cardiologist (heart specialist) will give one or more low-energy electrical shocks to your heart. You won't feel any pain from the shocks because of the medicine used to make you sleep.

 

Your heart rhythm and blood pressure will be closely watched during the procedure for any signs of complications.

 

 

 

 

 

 

 

The illustration shows a typical setup for a nonemergency cardioversion. Figure A shows an irregular heart rhythm recording (before the cardioversion). Figure B shows a normal heart rhythm recording (after the cardioversion). Figure C shows the patient lying in bed with cardioversion pads attached to his body. The doctor closely watches the procedure.

Cardioversion takes just a few minutes. However, you will likely be in the hospital for a few hours due to the prep time and monitoring after the procedure.