Cardioversion uses a precisely timed electrical shock to disrupt abnormal electrical circuits in the heart and to restore a normal heartbeat. The
procedure delivers the electric shock through the chest wall to the heart through special electrodes or paddles that are applied to the skin of the chest and back. The shock causes all the heart cells to contract simultaneously, interrupting the abnormal electrical rhythm without damaging the heart. The interruption allows the heart's electrical system to restore a normal heartbeat.
Cardioversion requires sedation. During the procedure, a cardiologist, a nurse and/or an anesthesiologist are present to monitor the patient's breathing, blood pressure and heart rhythm. Special cardioversion pads are connected to an external defibrillator, by which the medical team can monitor the heart rhythm and deliver an electrical shock to restore the heart's normal rhythm.