How is a cardioversion procedure performed?
Cardioversion may be performed with medication or an electric device. At Penn Medicine, your doctor will conduct a thorough evaluation of your medical history and symptoms to choose the best treatment option for your situation.
During an electrical cardioversion, a controlled electric shock is delivered to the heart to reset its rhythm. This is typically done in a hospital or clinic setting where you’ll be closely monitored by our skilled care team.
You’ll receive a sedative or anesthesia to prepare you for the procedure. Electrodes will then be placed on your chest and a synchronized electrical shock will be delivered to your heart to restore a normal rhythm. Your care team will monitor you for at least one hour after the procedure. It may take several hours for drowsiness from the anesthesia to wear off, but you can expect to return home on the same day as your procedure.
A chemical cardioversion is delivered via anti-arrhythmic medications to help restore your normal heart rhythm. These medications may be taken orally or delivered through an IV (intravenous line). The specific medication depends on the type of abnormal rhythm you have and any underlying medical conditions.
Chemical cardioversion may be done in a hospital, your doctor’s office, or even in the comfort of your own home. It does not require anesthesia. In a hospital setting, your heart rate and rhythm will be monitored regularly by your care team. If you opt for at-home treatment, you’ll want to maintain close follow-up care with your Penn Medicine cardiologist.