Cardioversion

Posted by abob @abob, May 22, 2025

Husband had ablation (2 afibs & 2 flutters) a few wks ago.
Today he had 1 Cardioversion, EP said it went well.
He took his BP this evening - machine says “irregular heartbeat”.
Isn’t that what was supposed to have been fixed?

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Profile picture for gravelgertie @gravelgertie

My pulse is 120 and I have had one cardioversion to get me out of Afib. My cardiologist has suggested that I have an ablation which I am not sure if I need or want. Will having another cardioversion lower my pulse? I have a Kardiomobile 1-lead and a blood pressure monitor.

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@gravelgertie There is no way of telling unless you try a cardioversion. It may just work. It should take only one cardioversion, but each session comprises three zaps with the second and third having successively higher joules. If none of them works, you go home, or remain in hospital if you need urgent care.

An ablation will probably work if the EP finds the correct area to ablate. Sometimes the culprit is the AV node, in which case it may be that you'll need to have it neutralized via an ablation and a pacemaker installed. That's the last option, with ablating another way/place first, or a cardioversion.

Your heart is a muscle. It can get fatigued and/or damaged. So, the wisdom is that you should not tolerate what is arguably 'tachycardia' or a tachyarrhythmia higher than 100 BPM for more than 24 hours. If the problem doesn't self-limit inside of 24 hours, get to an ER for care. If your HR is higher than 140 BPM, it may mean a higher risk of stroke (which I can explain in another post if you're really interested), and you should seek help if it doesn't correct inside of 4 hours.

REPLY
Profile picture for gravelgertie @gravelgertie

My pulse is 120 and I have had one cardioversion to get me out of Afib. My cardiologist has suggested that I have an ablation which I am not sure if I need or want. Will having another cardioversion lower my pulse? I have a Kardiomobile 1-lead and a blood pressure monitor.

Jump to this post

@gravelgertie
A cardioversion is to bring your heart rhythm back to normal.

An ablation is to kill the cell in your heart generating false electrical signals that create PACs, and PVCs, and can be source causing AFIB, VFIB, and rhythm issues.

REPLY
Profile picture for jc76 @jc76

@gravelgertie
A cardioversion is to bring your heart rhythm back to normal.

An ablation is to kill the cell in your heart generating false electrical signals that create PACs, and PVCs, and can be source causing AFIB, VFIB, and rhythm issues.

Jump to this post

@jc76 I had a 2nd cardioversion on Friday, 2 days ago, and so far my pulse is down to normal with fluctuating from 74 to 84. I check it with my blood pressure monitor and Kardiamobile 3 to 4 times a day. Kardiamobile says normal sinus rhythm with no abnormalities. I am praying it stays that way.

REPLY
Profile picture for gloaming @gloaming

@gravelgertie There is no way of telling unless you try a cardioversion. It may just work. It should take only one cardioversion, but each session comprises three zaps with the second and third having successively higher joules. If none of them works, you go home, or remain in hospital if you need urgent care.

An ablation will probably work if the EP finds the correct area to ablate. Sometimes the culprit is the AV node, in which case it may be that you'll need to have it neutralized via an ablation and a pacemaker installed. That's the last option, with ablating another way/place first, or a cardioversion.

Your heart is a muscle. It can get fatigued and/or damaged. So, the wisdom is that you should not tolerate what is arguably 'tachycardia' or a tachyarrhythmia higher than 100 BPM for more than 24 hours. If the problem doesn't self-limit inside of 24 hours, get to an ER for care. If your HR is higher than 140 BPM, it may mean a higher risk of stroke (which I can explain in another post if you're really interested), and you should seek help if it doesn't correct inside of 4 hours.

Jump to this post

@gloaming I had a 2nd cardioversion on Friday, 2 days ago, and so far my pulse is down to normal with fluctuation from 74 to 84. I check it with my blood pressure monitor and Kardiamobile 3 to 4 times a day. Kardiamobile says normal sinus rhythm with no abnormalities. I feel so much better and can breathe easier. I am praying it stays that way.

REPLY
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