Monday, April 11, 2011

Therapeutic procedures for heart conditions (diseases) Cardioversion and its types




CARDIOVERSION
Cardioversion is a medical procedure by which an abnormally fast heartbeat or cardiac arrhythmia is converted into a normal rhythm using electrical or drugs. Synchronized electrical cardioversion using a therapeutic dose of electrical current to the heart at one point in the cardiac cycle. pharmacological cardioversion, also known as chemical conversion, medicine antiarrhythmia user instead of a shock.

Each normal heartbeat begins in a region of the heart known as the sinus node is located in the upper right chamber (right atrium) . The sinus node contains specialized cells that send an electrical signal through the heart of organized crime in a timely heartbeat rhythm. In patients with atrial fibrillation, however, atrial fibrillation (or trembling) due to the chaotic electrical signals that circulate in the two atria. This results in a rapid and irregular heartbeat. While some patients have no symptoms, others may experience shortness of breath, dizziness and fatigue. Depending on your medical history and symptoms, your doctor may recommend a cardioversion to return his heart to a normal rhythm.



DIFFERENT TYPES OF CARDIOVERSION .

Rhythm of the shipment may be chemical or electrical. chemical rate refers to the transfer of antiarrhythmia taking drugs to restore normal heart rhythm. These drugs work by changing the electrical properties of the heart to suppress cardiac arrhythmias and restore normal rhythm. The doctor can choose to manage antiarrhythmia drug outpatient clinic or hospital may agree to give oral or intravenous drug antiarrhythmia when the heart rhythm is continuously monitored. In deciding whether you need to be hospitalized on the basis of symptoms, the doctor chooses a specific drug, and your underlying heart disease.

electrical cardioversion (also known as current or a DC) is a procedure whereby a synchronized electric current (shock) is delivered through the chest wall to the heart through special electrodes or paddles applied to the skin on the chest and back . The purpose of cardioversion to cut the abnormal electrical circuit (s) in the heart and restore a normal heart rhythm. The supply shock causes all the heart cells to contract simultaneously, thereby interrupting and terminating the abnormal electrical rhythm (usually atrial fibrillation in) without affecting heart. Heart's electrical system then restores a normal heart rhythm.


Electrical conversion performed in hospital as a intensive care unit, recovery room or special procedure room. A cardiologist, a nurse and / or an anesthesiologist present to monitor your breathing, blood pressure and heart rate. Special cardioversion pads are placed on your chest and back (or, alternatively, both pads are placed on the front of the chest). The pads are connected to an external defibrillator by a cable. The defibrillator allows the medical team to monitor your heart rate and apply the energy needed to restore heart rhythm to normal.

Since the shock can be uncomfortable, sedation is administered intravenously or nurse anesthetist trained. When You're Sober, your doctor will give you a shock. Other illnesses have a higher level of energy can be delivered, if the first shock does not restore the rhythm to normal. Rarely, a small skin irritation may occur on the pages moves rhythm cushions. Patients usually wake up quickly and without any recollection of the amnesic effects of interference due to tranquilizers. Patients are advised to avoid driving or making important decisions on the final day, because the potential for a mild, lingering effects of anesthesia. Patients must be accompanied by a family member or friend, and usually can not go home hours after the operation.
A normal heart rhythm may be restored to about 90% of the time, although abnormal rhythms again around 50% of the time in the year. Cardioversion can be repeated for patients who relapse to an abnormal rhythm.


Because the upper chambers of the heart are atrial fibrillation (tremor) and do not tighten evenly in patients with atrial fibrillation, there is a potential risk of blood clots can form. The process of restoring normal rhythm could dislodge a clot of blood from the heart causing a heart attack or stroke. Fortunately, blood thinners before the cardioversion can prevent more blood clots. This is a process called anticoagulation. Anticoagulants such as aspirin, heparin and warfarin (Coumadin ). Warfarin is a pill taken daily and doses according to blood tests. This test called the INR or International Normalized Ratio the monitors for thinness or thick blood and, in general, should be around 2.0 to 3.0 (normal INR for someone who is not Warfarin is usually around 1.0).

If the INR is too high, there may be an increased risk of bleeding. Heparin is an anticoagulant that can be administered as an intravenous solution or a bullet in the skin. It acts faster and its effects are reversed as soon as Coumadin . Often, patients are placed on heparin to Coumadin will enter into force because it can take several days.

Before making the transfer of rhythm, the doctor determine the risk of blood clotting (and thus your risk of stroke or heart attack), and then blocking drugs. Patients with atrial fibrillation or flutter, which is present in an instant, the blood must be thin enough for at least 3-4 weeks before the pace moves to reduce the risk of stroke. Since it takes several hours to form blood clots, the pace of movement can be performed safely without blood thinning drug in patients who have had their problem of arrhythmia within 48 hours. Sometimes, your doctor may recommend that in particular, cardiac ultrasound (called a transesophageal echocardiography, or TEE). During transesophageal echocardiography, a special sensor placed in the esophagus.

It allows your doctor to directly visualize the atria to detect potential blood clots. Typically, anticoagulation is continued after cardioversion for four weeks to six months, the success of cardioversion well.



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