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Cardioversion is a medical procedure by which an abnormally fast heart rate (tachycardia) or other cardiac arrhythmia is converted to a normal rhythm using electricity or drugs. Synchronized electrical cardioversion uses a therapeutic dose of electric current to the heart at a specific moment in the cardiac cycle , restoring the activity of the ...
Otherwise, immediate cardioversion is recommended, preferably with a biphasic DC shock of 200 joules. [2] In those in cardiac arrest due to ventricular tachycardia, cardiopulmonary resuscitation (CPR) and defibrillation is recommended. [5] Biphasic defibrillation may be better than monophasic. [5]
It should not be confused with defibrillation (used in more serious cases, in ventricular fibrillation and other shockable rhythms) using a manual or automatic defibrillator, though some newer defibrillators can do both, and pads and an electrical stimulus to the heart are used in transcutaneous pacing and defibrillation.
Defibrillation threshold indicates the minimum amount of energy needed to return normal rhythm to a heart that is beating in a cardiac dysrhythmia. Typical examples are the minimum amount of energy, expressed in joules , delivered by external defibrillator paddles or pads, required to break atrial fibrillation and restore normal sinus rhythm .
Defibrillation is often an important step in cardiopulmonary resuscitation (CPR). [6] [7] CPR is an algorithm-based intervention aimed to restore cardiac and pulmonary function. [6] Defibrillation is indicated only in certain types of cardiac dysrhythmias, specifically ventricular fibrillation (VF) and pulseless ventricular tachycardia.
[2] [1] [6] Diagnosis is by an electrocardiogram (ECG) showing irregular unformed QRS complexes without any clear P waves. [1] An important differential diagnosis is torsades de pointes. [1] Treatment is with cardiopulmonary resuscitation (CPR) and defibrillation. [3] Biphasic defibrillation may be better than monophasic. [3]
Illustration of Implantable Cardioverter Defibrillator (ICD) An implantable cardioverter-defibrillator (ICD) or automated implantable cardioverter defibrillator (AICD) is a device implantable inside the body, able to perform defibrillation, and depending on the type, cardioversion and pacing of the heart.
Pacing and Clinical Electrophysiology (PACE) is a peer-reviewed medical journal that publishes papers in cardiac pacing, clinical and basic cardiac electrophysiology, cardioversion-defibrillation, the electrical stimulation of other organs, cardiac assist, and, in general, the management of cardiac arrhythmias.