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How soon following pacemaker implantation can patients safely undergo elective cardioversion?

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How soon following pacemaker implantation do you consider it safe for patients to undergo elective cardioversion for atrial fibrillation or flutter?

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2 Answers
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Cardiology · Westchester Medical Center/New York Medical College
Answered on

That is a good question. From a technical standpoint, a cardioversion can be done at any time after a pacemaker implantation. In the past, we often did defibrillation threshold testing on patients on the EP lab table after implanting an ICD and sometimes they would require a shock externally. This w...

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Cardiology · Baylor College of Medicine/ Texas Children's Hospital
Answered on

In general and prior to 1 year ago, I would 100% agree with Dr. @Dr. First Last's response. As long as there are no bleeding (uncommon hematoma) or perforation (rare) complications, the likelihood of anticoagulation interruption should remain low. I tend to use an empiric pressure dressing more ofte...

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