Cardioversion of Atrial Flutter
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- เผยแพร่เมื่อ 15 มิ.ย. 2012
- This video demonstrates the successful cardioversion of a patient with an atrial flutter tachycardia. Our patient has given permission for the creation and posting of this video.
- วิทยาศาสตร์และเทคโนโลยี
I'm the person (victim) in this video. It's been quite a long time since this happened (now 2016). GRU Emergency team were great and Dr Berman AWESOME. As a former cardiac nurse, I knew what was going on. I want you to tell you that I have had no further cardiac episodes - I'm in NSR. The ablation worked.
+Red Peg Hey Red, so were you just in atrial flutter and that required CV? And you eventually had an ablation? Did you also have AFiB?
I had an ablation in Nov 2014 for AFiB. I never had to go thru any cardioversions during my one year in and out of AFiB, so I guess I was fortunate.
Also, my AFiB was limited to irregular HR, never high or fast HR.
Glad to know Ms Peg. Keep NSR. 😊
i'm cured Ablation was successful
After 7 ER visits (receiving IV drugs to control my HR) the cardiologist FINALLY sent me to the Electrophysiologist (Dr Berman in the video) The only reason I had a cardioversion was because I was scheduled to have an ablation (which required that heart meds should stopped X# of days before procedure) the next day. A year later I was DX'd AFib and had another ablation. I have had NO problems since. I'm feeling great!! (Thanks to Dr Berman!)
Awesome video! Not as scary as I imagined it to be. Went very smooth! I'm waiting to have the Cryoballoon Ablation Procedure for my A-Fib! Usually, I would have a breakthrough, which would last within a few minutes and my heart would convert automatically on its own. However, on June 11, 2016, I was in A-Fib for more than 14 hours. This is the first time ever. So, I can't wait for my procedure. Actually I look forward to it since I hate taking any pills; that includes OTC as well. I'm glad that your ablation worked out great for you. I'm hoping for the same as well.
My brother had the cardioversion last July and today the heart ablation. I’m here to see what he’s gone through. Thank you for sharing your experience
You are so welcome
I love how you all kept the patient in good spirits and explained what was going on in a gentle way. You guys seem to make it less scary with your excellent bedside manner. The patient was a trooper and was calm throughout too. I appreciate her permitting the filming as it was an excellent learning experience.
Thank you!
~ In 1995 I had a cardiac radio frequency ablation. It took over 8hrs. I had an absorption of twin that never developed. But my twin gave me 4 extra nerves into my heart. My heart was beating at times counter-clock-wise @ 240bpm. It was awful. After this ablation not knowing yrs later. They found I have a heart aneurysm. Some claim from this ablation. Now I am 60, and last yr had covid. They claim covid can give anyone A-fib even as early as age 25. So I had this cardio version done yesterday. My heart is beating normal. I PRAY my heart will not have any further issues. It is scary to always be concerned over your heart. I pray only good things happen to me, and for all of us always. Keep getting your check ups with your cardiologist we only get one heart, lets all take care of it. Blessings to you all. ~ 💜
Doctors and nurses are heroes
They truly are!
I appreciate seeing this. I had Atrial Flutter from a combination of a meal and some unusual physical moves that put a lot of pressure on my stomach working on a home project. The medical experts refused to give me a Cardioversion. It took 8 months and a lot of screwed up medical actions before I got the ablation. I probably would have got even with the Cardioversion depending on how quickly the AFL returned. I had an acquaitance who had to take anti coagulants for a while before they would give him a cardioversion.
Thank you for sharing. ❤ glad you are ok!!
I'm getting ready for this in the early spring and these videos help ease my nervousness, as an engineer I have a need to understand, even if it is just a little, of what they are doing. I already have had a cardioversion that was unsuccessful and am doing ok with meds and losing weight. Very informative and quick.
I hope this message reaches who it needs too. I had this procedure done this past Monday.. of course I was a little nervous about doing it.. I'm here to tell you I feel great I have so much energy right now It's almost silly lol... The first day your still under the Anastasia so take it easy. But after a good night's sleep my feet hit the ground running.. I the person reading this is having to have this done I'm here to tell you I believe it's worth it. Be strong. Be brave. And you will be the better for it ..😊
thanks , i am gonna accept to do one not sure when . keep you posted
@@housbinpharteen7445 I'm sure everything will go fine... But ya.. it would be nice to hear how it went
Thank you, my mom is not for sure if she wants to do this or stay on heart medication I have to make the decision cause she don't want to she's 77
@@telinathomas Your welcome 🤗. At least for me when it was over and done it was like why was I worried so much . And it has done me a world of good... if you remember I'd like to know how you guys did..
Thank you. I’m an athlete who races the Mile but suddenly went into flutter which seems to have hammered ability to race such distances but that’s how I knew something was up. ECG confirmed. Now I’m waiting for CardioVersion and likely ablation to get back to feeling awesome again. I pretty much have none of the typical things that would trigger Atrial Flutter but nonetheless here it is so anyone reading this just stay chilled, know you can still function but then get the treatment and all will be good
Thank you for consenting for this video and thanks to the youtuber as well! God Bless you all
Glad this was helpful!
I had 2 of these done Dr. Did a great job
I had 4 cardio versions over a few years. 1 maze procedure, one ablation and lots of different meds. I finally had a pacemaker in 2019. Thank God, I don’t feel a-fib, if I’m in it. Pacer set at 70 bpm. Cardio version is scary but over so quickly.
Thanks for sharing this video. I'm getting cardioversion tomorrow morning and now I can go into it with a better understanding of what to expect.
Me too
@tomcolegrove5491......How did you do with your Cardioversion ? I am having it done on 5/28/24 and I am plenty scared. I absolutely hate being put to sleep and I am afraid this Cardioversion may cause me to have a stroke or heart attack.
@@debrascott8492I was scared of the same thing, but it went well. I feel a lot better now that my heart is beating properly. You will have a burn though, but it's not too bad.
@@debrascott8492 I have had several cardioversions and they have all gone well with no issues, it seems to be really common these days 6/8/2024
Great practical presentation. Thank you.
Thank you for sharing this video. I will be having this procedure this coming thursday and at least I have the idea what's going on that they will do and reducing my anxiety nervous feelings... thanks again!
You are welcome!
I'm glad your doing well ☺️ and no more issues and I have Cardiomyopathy and heart failure due to COVID 19 Viruses in my heart. Lynn Deatherage who has a cardiologist in Minnesota and a neighbor had the same problem and had her heart shocked
@@nickobrien2478 nope it's not. It's due to gops supporters who refused to wear a god-damned 😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷🎭🎭🎭 MASKS!!! Lying assholes gops supporters and lawmakers who lies like dogs faces. Abusing the ADA for only disabled people. Not for abled bodies gops supporters and lawmakers in USA and Minnesota as well.
@@nickobrien2478 no it's not
I just prayed for you. I hope all is well.
I had this yesterday. Everyone at Stonecrest Hospital were above and beyond amazing. I gad a pad on my back and chest and this video doesn't say anything about back pad. I have slight irritation on my back. Had Afib for 7 days. Glad to be back to NSR today.
They talked about the placement of the pads by saying anterior posterior placement, anterior being on the front and posterior being on the back 😊
i had two cardioversions for atrial fibrillation. I don't remember either procedures as they heavily sedated me. No more problems in the last 7 years.
I had this done a few months ago. I also had a camera stuck down my throat as well to see if I had any clots before they did it.
Just had vtach episode in my shift this morning..pt was just eating lunch at 11:30 telemetry called saying push the e trolley to pt and we did cardioversion also,.successfully!..
Wonderful Wonderful DrLarry and ur team.....please more &more videos....i am anesthetist
You are welcome! I'll keep working on more videos!
I'm going for my second one in an hour! Hopefully it works this time
How are you doing? Hope your second procedure worked.
I'm doing much better, thank you! I ended up having two cardiac ablations and two cardio versions in a two months span. Spent two weeks in the hospital. Feeling great now!
I've had electrocardioversion six times now. At one point it was just four weeks between interventions. I'm awaiting catheter ablation right now but have also relatively Afib free for just over eighteen months. That's not to say I haven't had short bouts of Afib, but I've been able to get myself out of it thus far.
Check out York Cardiology on TH-cam - Dr Gupta is my cardiologist.
Soon i will be dealing with patients like this🥰
I have it done on June 27
I had 4 cardioversions....once, they did it 3x! my chest hurt!
I got afib and v-fib this will be my second time getting a cardioversion done to me. And yes you will urinate on yourself
So I watched this again... it's me in the video. I am reporting my heart health: ALL IS WELL. My ablation the next day was successful and have not had any problems with my heart ever since. Thank you GRU, Dr Bermin and the hospital staff. (Now my arthritis... sigh...)
Cool! Thanks for the follow-up! Sorry about the arthritis!
Larry Mellick managing well. I'm finding the best foods to eat to help- cherries!
thank you
Is it Berman or Bermin?
peggy081056 so glad you are well.
Thanks Peggy and the entire staff for allowing us to follow your procedure and learning along the way. As a medic student working through cardiology at the moment, it was very insightful to see the procedure. Glad to hear you are doing well. Again, thanks to all.
I had this procedure on Saturday 12-01-2019 and they used 150 joules and one charge on me and it was 100% successful. I went out in a blink and I didn’t feel anything and when I came round I felt absolutely perfect. I cannot thank the staff at Medway Maritime Hospital in Gillingham, Kent, UK enough for their care, Kindness and professionalism.
I had cardioversion 2 days ago . I am a U.K. resident. I now feel that I have a lot more energy now. I was in Atrial flutter for about 6 months. There is absolutely nothing to fear going through the Cardioversion procedure.Well done to the staff at Bournemouth Royal Hospital.Thanks.
This video boosted my confidence when I was facing a cardio version a few weeks ago which restored my heart rhythms perfectly. Thank you for posting it.
i am the patient in this video - BTW, Dr Berman is the best!
RGU (formerly known as MCG in Augusta,Ga) staff were all wonderful. i consented to this because as a nursing student oh so long ago, i learned from patients who allowed me to learn from them (when i got my BSN from GU, i worked as a cardiac nurse for 20 years (this is karma, no?).. so i wanted to give back.
my ablation the following day was without complications and i have had no problems with my heart since. thank you, Dr Berman and the staff at RGU.
Peggy, I had this procedure done yesterday. Pretty painless. I thought it was funny that you said you were surfing the internet. I am a computer tech and was having problems moving my mouse as I came off of the Propofol. Propofol is an incredible drug in my eyes, amazing how sedation has changed over the years. P.S. Thank you for doing this video.. as I was asleep and didn't know what was actually happening.. haha
Terry Pendergrass thanks for the reply! as a former nursing student, i just wanted to "pay it forward." hope you are doing as well as i am. i'm feeling GREAT! WOOHOO!!
Still good?@@peggy081056
I just had it done 3 days ago. I remember going into the operating room and the ladies shaving a patch on my chest. I know I talked a little. I don't remember anything else--LOL! I don't remember any meds to put me asleep, or even waking up. Absolutely no pain. Instantly GREAT!!!
Increased my Sotalol and had to spend 3 days in the hospital on the cardiac floor for observation since my medicine was changed. Not one bit of trouble or pain. My doctor said I was going to have a boring 3 days. I watched TV, walked around unit a lot, enjoyed visitors, doctors, nurses and technicians. The only negative thing was the "cardiac diet" -- YUK!!! LOL.
Thanks to the medical team and thank you Lord.
I’m very pleased to say that after having a cardio version done five weeks ago I feel absolutely perfect again. As soon as I woke up I felt normal again. Strange as it might be to say, It wasn’t a bad experience and watching this video a few times prior to my cardio version it took away all of my worries about having it done. If any members of staff at Medway Maritime Hospital who looked after me that day should see this video, A massive thank you to all of the staff who dealt with me.
just let you know - i'm the 56 yr old patient in this video. (former cardiac nurse, ironic, no?? LOL)the electrophysiologist, Dr Berman, said stop taking toprol a week before my scheduled ablation. when a-flutter started again - i told the ER staff to not give me adenosine or any other drug -- i called Dr Berman & told him i was going to the ER; he met me there and made sure that i would get no drugs -- only cardioversion would & did get me back to NSR. After my ablation, i've been free of afib flutter ever since! all is good!! thank you Dr Berman and GRU staff
now 2016 - i'm feeling great! thank yiu Dr Berman and GRU staff!!
Red Peg im glad you're doing better. I'm a 44 year old, had an ablation late September 2016 for arrythmia and atrial flutter. I still palpitations but the electrophysiologist said i should be fine, that he didn't find anything else. he's going to have me wear a Holter monitor to see if everything is ok. I'm hoping and praying everything is good.
Holter Monitor is good. I've had 2 ablations- one for Afib - the other for A flutter. Still no palpitations!
It was more of a danger to suddenly stop taking the beta blocker than anything else. Some really wild stuff can happen when you drop a beta blocker cold turkey. I did it after 46 years on Inderal. scary stuff.
Thank you for sharing your experiences! I'm in Med Surg 2, studying ECG/cardiac and this video, along with your updates are a great learning experience for me.
pipedreams57 for real I stopped for a couple days
Thanks! Great patient to allow this.
The golden rule for me when I do this is : don't forget to hit the SYNC button.!!! synchronized cardioversion hits on the R waves and it is surprisingly safe. Defibrillation is when you don't hit the sync button and that is much more dangerous. If you are doing this emergently, because they are crashing, it's possible to forget to hit the sync button. Wonderful video as always, love your videos. they are very , very , veryhelpful for healthcare workers all over the world!!! we are very grateful to you and your institution!! keep posting!!!!
Thanks genius
@@patkelly6349 isnt pat a girls name? Wait, kelly is a girls name too!
Yes, I couldn't agree more. Thanks for the comments.
In the ER this is such a delicate approach. In the field, paramedics do this when the patient is NOT stable. This patient is conscious, alert, and oriented, and vitals are stable. They do this to aleviate her palpitations and chest pain. In the field this happens in a matter of seconds.... and if the patient is so critical, we don't have time to sedate. Glad to see the patient did well and has come back to the thread and update viewers.
Thank you so much for this Larry, Paramedic student just finished school this was awesome to see! Glad she converted with only the 50 joules 1st try! Interesting too, we learned 100j for regular rhythms per AHA protocol.
Thank you SO much for this video! I just completed nursing school and passed my boards. I'm continuing to study things I was unsure of in school and didn't have time to review. This was very helpful!
Thanks for the kind words.
I'm a medic student, and this helped me a lot to understand cardioversion better. Thank you!
You are welcome!!
Dr.Larry Mellick, all your videos are absolutely amazing!!
Shruti Mani Thanks!!
Dr. Shruti Mani Can it be used on me?
I’m so pleased that I found this video as I’m having a cardio version on Saturday 12-01-2019 in my local hospital. I’ve had a bad year with afib after three Doctors in my local surgery failed to examine me and wrongly assuming that I was suffering from anxiety, I was not suffering from anxiety. My third consultation with a Doctor on 04-01-2018 didn’t help me as she prescribed me with Salamol. By this time I was suffering from serious breathing problems and heart and kidney failure due to atrial fibrillation and I ended up in A&E fifteen hours later and I was in Hospital for three days. So far this has ruined my life and I’m really hoping that my cardio version will sort me out.
Great staff, great patient. Thank you all. Nice job.
Had this done a couple weeks ago. Piece of cake.
Thanks, so far so good. Two nights before my ablation I went into afib and then a-flutter taking 6 shocks to get back into normal sinus. My cardiologist decided to admit me for that night and the next night leading into my ablation. My cardiologist also said that it seemed the procedure was a success but that only time will truly tell. I really hope so because being cardioverted 6 times in 6 months was more than enough for me. I will be sure to keep everyone posted.
Did it worked?
I am one week post op after a pacemaker insertion. I have had this treatment several times. So grateful I will not require it anymore.
Thanks! Glad you like my videos!
I agree with the patient, you guys are awesome. What a scary position to be in knowing you are about to be shocked. Glad you guys held her comfort in such high regard. I know it's not always possible.
I use to be a Los Angeles County Emergency Paramedic in the 1970's (9 years). Then I went "back" into the Military and Flight School. My specialty and strength as a Paramedic was Cardiology. I was fascinated with it and I was good. When I retired after 26 years I flew EMS helicopters for 8 years. From what I was trained to perform in the 1970's vs what the EMS Medics can do today is night and day. I was old school Rampart squad 51 abilities. This is amazing to me.
Best of luck! Thanks for the testimonial.
Just a few other points for viewers from an educational point of view :
-this wasnt a "sedation" but rather a short general anesthetic. In ER "procedural sedation" implies sedation where the patient is able to maintain airway and oxygenation (checking for an absent blink reflex as in the video implies a deeper target level of sedation than this)
-the drop in O2 sats could have been prevented by pre-oxygenating the patient and should be done in any patient before this level of anesthesia is attempted
Even if the O2 saturation was normal?
Had it done yesterday with propofol and versed, it was considered a pro-sed as no intubation was required. However they did pre-oxygenate me.
Thanks for the info Dr. Mellick. Don't have heart problems like this but if pushed to get the propofol I would take it. Recovery from it is almost incredible!
Thank you for sharing and to that brave lady for going on You Tube. I have been Cardioverted twice in Australia, it was very interesting to see what happens. Cheers
Thank you to all of the people in the videos, especially the patient. I'm surprise that your hospital let you video the procedure but I'm so glad they did!
It's a teaching hospital - as a nursing student and now a nurse, I wanted to "pay it forward"
I am due for Abaltion on 15/3/2017, SVT, and am am not nervous about anything now, my big concern was no meds for 5 days, and that if I had an emergency I would be given drugs and have to start over! Thank you for sharing.
I love EP Cardiologists. Special breed, those guys. I saw the woman in the video is doing well. That's great! YOU are why we go into cardiology! Best wishes!
Now a lot of EP cardo are not MD's but Rn's.
Thanks for filling in the gaps I had forgotten.
Now THIS is how it should be done!! Pros!!
Glad you are better and no more episodes!!
👍👌🏻❤️
Cool! Thanks. I hope you find them useful.
This video was a great help for me as I watched it and other several time before I had my Electro-cardioversion nearly a year ago now. One Zap and I've been good ever since.
I had Atrial Flutter for 2 years during which time I would also have palpitations during which i would have to lay down otherwise risk fainting for lack of blood to my brain. When my condition was at it's worst I would have abdominal pains and perfuse sweating during the palpitations which sometimes lasted for a couple of hours. I didn't know about Electro-cardioversion when I first got the condition because I was in China then spent a lot of time in the Philippines and it was never offered or even suggested.
I researched a lot on nutrition and took a lot of supplements & modified my diet which reduced the frequency & severity of the palpitations but I still was always in A-flutter.
My cardioversion was a great success and now with the help of supplements and diet changes my health is better than it was before I first to the A-Flutter.
Michael Jenkins Cool! Thanks for your comments.
Did anyone ever give you an explanation for the abdominal pain. My wife has had 6 ablations for pvc's plus one for the vtac and she has started having severe abdominal pains and everyone basically says she's imagining it. I wish I could find a decent doctor for her before she gives up.
Thanks. You are welcome.
thank you patient for letting us nursing students see this .
Wow so interesting to observe thanks to the patient for allowing us to be witness to this procedure.
You are welcome. Thank you.
Wonderful video!! thank you all, from a medical student!
Glad it was helpful!
Thanks alot Larry for this video, it helped me alot before I see this video I thought the cardioversion is a big deal but after I have seen this video I have incarriged and I have done it about ten days ago in Maasstad hospital in Rotterdam - Holland, also the staff is was very great and since the time I made it ten days ago till this moment my heart rythem is very normal.
Going in tomorrow. Thanks for sharing this info.
I really appreciate you posting all these videos. Thank you :)
I am from Recife in Brazil south america and i think that this video was great!!!
Thanks for sharing that with us down here in this part of the world.
Thanks...agreed.
That's great. I am glad this helped.
Yes! Rebooting of the heart.
Excellent! I am glad it was helpful.
Thank you very much for the video. :)
Yes, we did. End tidal CO2 monitoring and oxygen is typically used during procedural sedation.
Yes, it is safe. Any of these procedures can have the usual complications, but if you need to have it done, I would go for it. If you have concerns, be sure to get a second opinion.
I had this same procedure for the same reason except mine had been in flutter for over a month and had sent me into congestive heart failure. Don't be afraid of this get it done of they recommend it, you won't remember a thing! I am scheduled for ablation tomorrow.
Good to show this, thanks
My husband just got his third cardioversion for atrial fib and flutter. The cardiologist does not know how long he is going to be on sinus rhythm but recommends ablation. Very interesting video. Thanks
very educational, thank you very much for this video!
wonderful video, useful for medical personnel all over the world. One comment, this was done but not spoken. Concerning conscious sedation, i always know EXACTLY where the oral airway is and the equipment to bag is ready to be used. Always prepare to bag someone thru conscious sedation. The worst thing is when its in some drawer somewhere and you are all fumbling around looking for it or tubes dont connect easy as the pt is desatting. Prepare for the worse, because it will happen.
Excellent! Glad it was helpful!!
stuff like this scares the shit out of me! I've had tons of health problems and vital issues last 14 years I couldn't be calm like this women. I'd actually like to learn about this though I kinda wonder if it would benefit me anxiety could be crazy knowing though.
You are welcome!
Thank you very much!!! I will tell our PCP and see what he can do!
many thanks!
Thanks for the thanks!
Good question. The decision to go to cardioversion was actually her cardiologist who is in the video. It may have been personal preference on his part or previous failure(s) with adenosine.
That's great - much better than out in the field.. I was on duty with a medic and he had to do it while pt was fully conscious no meds or anything, It was my first cardiac call to... Just my luck of course!! Lol "sir this is going to feel like a donkey kicking you in the chest but you will feel much much better after .." when we shocked him he yelled a few choice words but he felt much much better and relieved it was a hot trip to the hospital but we didn't have shock again just push meds and watch the monitor
Excellent Video , Is a real use of Defibrillator, not only a simulation
thank you.
Just watching this video the team all are very professional and well done.
What a great medical team! well done!!
Thanks!
Cool, cool, cool! Glad this was helpful!
Hard to say for sure...but both are options depending on the severity, etc.
She had been taken off her medications in preparation for the ablation when the atrial fibrillation suddenly started again. I don't recall the details of the discussion, but it was the cardiologist's decision to have her put back into sinus rhythm prior to the procedure.