Cardioversion, A Simple Guide To The Condition, Types, Treatment of Arrhythmias And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Cardioversion, Types and Treatment of Arrhythmias and Related Diseases
Cardioversion is a method to return an abnormal heart rhythm back to normal.
Cardioversion can be given using an electric shock or with drugs.
Electric Cardioversion
An electrical cardioversion, often called a cardioversion, is a method used to treat an abnormal and rapid heart rhythm (also known as cardiac arrhythmia).
The most often treated arrhythmia is atrial fibrillation.
Another rhythm often treated with electrical cardioversion is atrial flutter.
During a cardioversion intervention, an electrical "shock" is given to the chest to return the heart rhythm to a normal pattern.
Electric cardioversion is done with a device (called defribillator) that supplies an electrical shock to the heart to change the rhythm back to normal.
Electrical cardioversion is a synchronized giving of shock during the R waves or QRS complex of a cardiac cycle.
During defibrillation and cardioversion, electrical current moves from the negative to the positive electrode by traversing the myocardium.
It induces all of the heart cells to contract simultaneously.
This disrupts and stops abnormal electrical rhythm.
This, in turn, permits the sinus node to return to normal pacemaker activity.
The shock can be given from a device outside the body called an external defibrillator.
These are present in emergency rooms, ambulances, or some public places such as airports.
Electrode patches are stuck on the chest and back.
The patches are connected to the defibrillator.
Or, paddles connected to the devices are placed directly onto the chest.
The defibrillator is activated and an electric shock is supplied to the heart.
This shock transiently ceases all electrical activity of the heart.
Then it permits the normal heart rhythm to resume.
Occasionally more than one shock or a shock with higher energy is required.
It is normally scheduled in advance but is occasionally also done in emergency circumstances.
Cardioversion is normally given with electric shocks, done through electrodes connected to the chest, while the patient is sedated.
Electric cardioversion takes less time than cardioversion done alone with medicines, and the doctor can immediately see if the procedure has recovered a normal heartbeat.
Chemical cardioversion
Cardioversion is a procedure given to restore an abnormal heartbeat to a normal rhythm.
This procedure is done when the heart is beating very fast or irregular or an arrhythmia.
In chemical cardioversion, medicines are given to get the heart back to a normal rhythm.
1.Flecainide,
2.Dofetilide,
3.Propafenone,
4.Amiodarone or
5.Ibutilide
Cardioversion can be done with drugs that are taken by mouth or given intravenously (IV).
The result from this treatment may be from several minutes to days for the medicine to work.
This treatment is often done in a hospital where the heart rhythm can be monitored
The patient may be given blood thinning medicines to prevent blood clots from developing and leaving the heart (which can cause a stroke).
Before trying chemical cardioversion, the doctor may try to reset the heart rate in other ways:
1.The Valsalva maneuver where the patient holds the breath and increase the pressure in the belly.
This can bring the heart rate down.
The doctor may then use chemical cardioversion to alter the rhythm to normal.
2.If these things fail, electrical cardioversion is the next step.
An implantable cardioverter-defibrillator (ICD) is a device that is placed inside the body to detect dangerously fast heartbeats and give a lifesaving shock to correct the heart’s rhythm..
TABLE OF CONTENT
Introduction
Chapter 1 Cardioversion
Chapter 2 Pathophysiology
Chapter 3 Electrical Cardioversion
Chapter 4 Chemical Cardioversion
Chapter 5 Intern
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Cardioversion, A Simple Guide To The Condition, Types, Treatment of Arrhythmias And Related Conditions - Kenneth Kee
Cardioversion,
A
Simple
Guide
To
The Condition,
Types,
Treatment of
Arrhythmias
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Cardioversion, Types and Treatment of Arrhythmias and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Cardioversion)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Cardioversion
What is Cardioversion?
Cardioversion is a method to return an abnormal heart rhythm back to normal.
Cardioversion can be done using an electric shock or with drugs.
Electric Cardioversion
An electrical cardioversion, often called a cardioversion, is a method used to treat an abnormal and rapid heart rhythm (also known as cardiac arrhythmia).
The most often treated arrhythmia is atrial fibrillation.
Another rhythm often treated with electrical cardioversion is atrial flutter.
During a cardioversion intervention, an electrical shock
is given to the chest to return the heart rhythm to a normal pattern.
Electric cardioversion is done with a device (called defribillator) that supplies an electrical shock to the heart to change the rhythm back to normal.
Electrical cardioversion is a synchronized giving of shock during the R waves or QRS complex of a cardiac cycle.
During defibrillation and cardioversion, electrical current moves from the negative to the positive electrode by traversing the myocardium.
It induces all of the heart cells to contract simultaneously.