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Internal cardioversion. Internal cardioversion for atrial fibrillation is used in patients who are resistant to external cardioversion or inadvertently induced during an electrophysiologic study. Cardioversion should occur before placement of an atrial defibrillator.
CARDIOVERSION OVERVIEW. An electrical cardioversion, often referred to simply as a cardioversion, is a procedure used to treat an abnormal and rapid heart rhythm (also called a cardiac arrhythmia). The most commonly treated arrhythmia is atrial fibrillation. Another rhythm commonly treated with electrical cardioversion is atrial flutter. During a cardioversion procedure, an electrical shock is delivered to the chest to restore the heart rhythm to a normal pattern. The following is a discussion of cardioversion and the situations in which it is used.