Added: 4 years ago
From: MEDiscuss
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  • I can see P Waves i think?

  • Needs some commentary. So AF is something to do with spikes on a screen that are not always evenly spaced>

  • is that really what it looks like, i was hoping for something a bit clearer, there was still a q wave, i was hoping it would look much mroe random.

    Luke Slomka

  • I have had a fib for 20 years and took all difernt kind of meds none would keep me in sinus

    I am not taking timolol and valum and I have been in sinus for five years I think the valum is the reason why.xanax did not help either my heart changed or the valum 5 two time day helps keep my heart relaxed and controls the a fib along with 30 to 40 mgs of timolol.

  • no you should cardiovert this pt at 100j per AHA guide lines.Defibrillation should occur on v-t and vifib.

  • Would defibrillation be useful here, or does it only help with ventricular arrythmias?

  • Persistent atrial fibrillation is a major cause of death. Most clinicians will attempt to achieve sinus rhythm in their patients. Defibrillation is useless towards any atrial arrhythmias, as it only works for a ventricular arrhythmia. There is, however, a lower voltage treatment that can be used to correct AFIB in its early stages, by delivering a series of timed shocks. If the patient has had AFIB for a while tho, the shocks may not be effective.

  • youre totaly wrong, ive been carioverted 3 times for a-fig. it works great, fist control the rate, and then something to relax you, then verced, and zap, the a-fib is gone. you wake up happy in sinus

  • So what are you saying? Staff would not have been medically warranted to use a traditional defibrillator for a patient in AFIB. Your typical defibrillator it is too high a voltage to use on someone who is not in a lethal rhythm (VTACH/VFIB/ASYSTOLE). It may do more harm than good. Your personal experience does not set the medical standard for everyone because clearly, there is an exception to every general rule. But you may want to find out more clearly what exact procedure they did to you.

  • 100 gewls , up to 300 with ativan and cardizem and verced. well no thanks to nikola tesla, for converting me its dc its not harmful to the body! it beats all them meds that really have alot of side effects.

  • Well, no one shocks asystole, though vfib can mimic asystole, asytole is not a shockable rhythm. And you are right--a patient could loose thier pulse for more than 30 seconds due to an unsuccessful cardioversion.

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