Ricker Polsdorfer, MD
Various causes of a rapid heartbeat can be shocked back to a normal rhythm using electrical current. This procedure is called electrical
cardioversion. The underlying mechanism of cardioversion is based on the fact that these rhythms represent circular electrical currents that keep the heart muscle—or parts of it—twitching in an uncoordinated fashion. The electric shock stops the current from circling and allows the natural pacemaker (the sinoatrial node) to take charge. Often, medications are given beforehand to assist in the procedure and protect the person from the unpleasant effects of the shock.
Cardioversion can also be done with medications called anti-arrhythmics. These medications work by restoring normal sinus rhythm. Frequently, they must taken for a prolonged period of time. Common side effects include lightheadedness, fatigue, and nausea.
Cardioversion of atrial fibrillation. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116136/Cardioversion-of-atrial-fibrillation. Updated July 21, 2015. Accessed September 29, 2016.
Atrial flutter. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115251/Atrial-flutter. Updated December 8, 2015. Accessed September 29, 2016.
Ventricular tachycardia. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115268/Ventricular-tachycardia. Updated January 26, 2016. Accessed September 29, 2016.
Last reviewed December 2015 by Michael J. Fucci, DO
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