Cardioversion

Cardioversion - doctor at desk - British Heart FoundationIf you have an irregular heart rhythm such as atrial fibrillation your doctor may want you to have a procedure called cardioversion.

Cardioversion aims to get your abnormal heart rhythm back to normal.

You will be given a short-acting general anaesthetic or heavy sedation so you will be asleep throughout the procedure.

A doctor or nurse will put electrodes, stuck to large sticky pads, on your chest. The electrodes are connected to a defibrillator machine and will give you one or more controlled electric shocks to your chest wall. The whole procedure usually lasts about 10 minutes.

The defibrillator monitors your heart rhythm throughout the procedure so the medical staff can see straight away if the cardioversion was successful.

You will usually only need to go to hospital for part of the day, although some people need to stay overnight.  

Complications are not common and if you experience any side effects after the cardioversion, they will usually be temporary. You may get headaches and dizziness which may be the result of a drop in your blood pressure.

Feeling sick can be common after an anaesthetic. You may also feel a small amount of discomfort in your chest, where the shock was given, after the cardioversion.

Is it successful?

Cardioversion doesn’t always restore normal heart rhythm. Sometimes it’s successful to start with, but then your abnormal heart rhythm comes back several days, weeks or even months later. If this happens, your doctor may want to repeat the cardioversion or they may consider another treatment for you.

Who can I talk to?

It’s natural to feel worried when you have a new procedure, but it often helps to talk about your feelings with someone close to you or with a healthcare professional.

If you have any questions, talk to your doctor or call our Heart Helpline on 0300 330 3311.