How long between cardioversions for A-fib

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Regular Member

Date Joined Aug 2012
Total Posts : 350
   Posted 3/23/2013 6:26 PM (GMT -6)   
My mother-in-law (age 79) had her 3rd cardioversion on Feb. 12 (after being in a-fib for more than a month).  Her other cardioversions had 'lasted' 18 months to 2 years each.  She is now back in a-fib after just about 5 weeks.  She takes 150mg of Rythmol 3 times a day, and 25 mg of LoPressor 2 times a day. She is on Warfarin (currently 2.5 mg once a day 7 times a week) as a blood thinner and other meds due to other conditions.  One of those medication is celexa- 20 mg once a day) for depression.  I will be talking with her PCP about possibly changing that as I understand it can contribute to her problem. 
Her cardiologist's nurse checked her on Thursday and the cadriologist said for her to come in for a check up in April. But the first appointment isn't until April 29.  I worry about her staying in a-fib that long again.  She is not in the best of health (several strokes , and a broken hip in the past).  Due to previous strokes, she can't 'feel' when she is light-headed or dizzy. 
Does anyone know how long you have to wait between cardio-versions?  Or will the doctor even consdier doing another one since she has already had 3?  She doesn't want to consdier ANY surgery such as ablation or maze or even a pace maker. 
For your info- We monitor her blood pressure, pulse and oxygen levels 3 or more time a day. 

Elite Member

Date Joined Apr 2007
Total Posts : 32602
   Posted 3/25/2013 1:47 PM (GMT -6)   
Treatment of  atrial fibrillation depends on the amount of symptoms the person is  having and how persistent the atrial fibrillation is. If a person has  significant symptoms, then despite the duration of the atrial fibrillation, it would be reasonable to attempt to maintain normal rhythm with suppressive medical therapy initially and subsequently, potentially with ablation.
The goal of atrial fibrillation is to minimize, rather than eliminate the occurrence of atrial fibrillation as much as possible to a point that is satisfactory to the patient. I am afraid I don't have the answer to your specific question.
Perhaps your MIL should talk with her Cardiologist and revisit other forms of treatment.  Also the Dr. should explain the consequences of not treating her problems.
I am so sorry to read of your MIL many problems and she is so lucky to have you advocating for her.
Bless you,
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