复律法

在哪里注册?

You may call 706/774-2125 to pre-register if you prefer. 请到心脏登记处报到 & 血管研究所's first floor at your scheduled check-in time.

我在哪里停车??

病人和访客可以在心脏停车 & 血管研究所's dedicated flat parking lot off St. 塞巴斯蒂安的方式. If you need wheelchair assistance, please park in the main hospital parking deck. 

耐心的说明

  • Be prepared to stay at the hospital three to four hours. The time of your arrival is not the time for your procedure. Arriving earlier does not ensure a shorter wait. 准备时间是45分钟到1小时. It may be shorter if your physician had all the pre-procedure work-up done, 包括血液工作, 心电图, 历史和物理, 还有手术同意书. bg视讯试玩app勤勉地努力保持在计划上,但在你的情况下的延迟或紧急情况会增加等待时间.
  • 如果你需要麻醉或镇静, consume no food or drink by mouth after midnight before your procedure. Otherwise follow the physician's office instructions regarding eating and drinking.
  • 如果你正在做TEE手术, 在你的手术前至少8个小时,绝对不要吃或喝任何东西,除了喝带药物的水.
  • Follow your physician's instructions on what medications to take. If you are diabetic, ask the office if you should take your medications.
  • 带一个 列表 在你目前服用的所有药物中,包括胰岛素、维生素和草药制剂.
  • 如果你正在服用噬糖体药物(二甲双胍)或血液稀释剂(香豆素或华法林), 让你的医生知道.
  • Have an adult come to the hospital with you to drive you 首页. Arrange for a responsible adult to help you at 首页 for 24 hours.
  • 穿舒适的衣服.
  • 把所有的珠宝和钱留在家里.
  • You may wear your eyeglasses, hearing aids and dentures.
  • 请不要带小孩来.

你手术的那天

Please check in with the registration staff on the first floor of the 心 & 血管研究所. 注册完成后, 心血管护理中心的护士会把您送到心血管护理中心所在的二楼. Your visitors may wait in a small waiting room during the procedure. You will be asked to disrobe from the waist up and don a gown. 护士会用电极监测你的心脏,用其他设备监测你的生命体征. The nurse will also place a large pad on your chest and back. This pad is used to deliver the current that will cardiovert your heart into the normal rhythm. The nurse will obtain a full history and a 列表 of your allergies and medications. 如果你和你的医生讨论过手术过程,护士也可能会要求你签署一份许可. The nurse will start an IV and draw any ordered lab work. 护士可能需要剪掉你胸部的毛发,以确保电极正确地贴在你的皮肤表面.

房间通常是保持温暖的,但温度可以增加,并根据需要提供毛毯. Your family (one to three members) may remain with you until the physician arrives. 如果有更多的人在场,他们将被要求在等候室里等待,就在手术室的走廊上.

心动过速/TEE会发生什么?

医生给你看病后,他会检查你的药物和节律,然后指导护士或麻醉师给你注射镇静剂. 麻醉科的医生会给你开镇静剂. This medication will make you very drowsy and place you into a deep slumber. The physician will be present for this portion of the procedure, and the nurse will be monitoring your vital signs frequently. You will be questioned to determine that you are drowsy.

复律法过程

当你完全睡着时,医生会给你很短的电流. 这种电刺激的目的是停止心律不齐,取而代之的是正常的心律. 这叫做节奏转换. The physician will administer the electrical current one to three times. Most people will convert to a normal rhythm with only one shock. 如果您在三次尝试后没有转换, the physician will not attempt any further electrical stimulation. 整个过程只持续几分钟.

镇静剂的药效会在10分钟到2小时内消失,这取决于你使用的药物和你的个人反应. You will be asked to have someone drive you 首页 and to plan a day of rest after the procedure. 手术后你的胸部可能会发红. 你可以在发红的地方涂乳液. 护士会让你待在病房里,直到你完全清醒,能够坐起来说话. 护士将在这个时候与您和您的家庭成员进行任何后续预约,并与您和您的家庭成员一起检查任何药物变更. 在极少数情况下,医生会使用特殊的药物来帮助改变不规则的心律. 如果发生这种情况,你可能需要呆在CVPR房间区域或放置在一个可以密切监测你的节律几个小时的设备上. This is a precaution that is used whenever this medication is administered. After you are awake the nurse will escort you back to your vehicle. 手术后一到四个星期,医生会给你打电话,看看你的情况是否良好,是否保持正常的心率. 通常, 如果你服用了血液稀释剂, these will continue until you see the physician on follow up.

如果您还订购了TEE

A 三通(Trans-Esophageal超声心动图) 是否需要将探针穿过食道(连接口腔和胃的管道),以便医生能更详细地观察心脏结构,包括瓣膜和腔室. 这一过程有时在转复前进行,以检查心脏内的血块. If a clot is discovered the cardioversion will 不做. You will be asked to swallow a spray to numb your mouth and throat. 护士还会给你一剂镇静剂,防止你在手术过程中呕吐,使你昏昏欲睡. The physician will need you to remain conscious to determine that you are able to swallow. 护士会随时准备好吸盘,以吸引你口腔中可能出现的任何分泌物,并协助你取出这些分泌物. 整个过程持续15-30分钟.

如果你在过去几天内出现了一种叫做心房纤颤的心律异常,就需要做TEE. 如果心律转复手术延迟, 医生会给你服用抗凝剂(血液稀释剂),以减少血栓形成的机会. 你需要每周抽血来调整水平,直到可以安全进行复律. 这需要两到六周的时间. You will be rescheduled for a cardioversion when it is safe to perform the procedure.

常见问题

什么是心房纤颤?
心房颤动是一种不规则的心跳,它会导致心脏的顶部腔室(心房)非常不规则地跳动和无效地收缩. 这导致了几个后果. 第一个, the heart may have palpitations that cause the bottom, larger chambers (ventricles) to beat very rapidly in response to the atria. The rapid rate prevents the ventricles from having time to fill adequately with blood. 这可能会导致头晕或虚弱. 其次, 如果心房不能正常收缩, 血液不会完全排空,血液流动的减少增加了心脏心房血栓形成的风险.

为什么我的医生要给我做心肺复苏术? 为什么我不能保持心房纤颤?
医生想给你做心脏复苏术,因为房颤对病人有一些风险. 第一个, many people have fatigue or shortness of breath associated with this condition. 其次, there is a risk of rapid heartbeats due to stimulation of the ventricles by the irritable atria. 最后, 心房不能正常收缩会使你在这个心脏腔内形成血栓的风险大大增加. The clot could dislodge at any time amd the blood clot may travel to another part of the body, causing a clot in the lung (pulmonary embolus) or the brain (stroke).

What are the risks involved with this procedure?
最常见的风险是由心脏电刺激传导引起的心律不齐. 通常, 在电击传递后,心跳会减慢一到两秒钟,然后迅速恢复正常节奏. 其他风险包括,如果在手术过程中血块脱落,可能导致中风. 医生可能会让你服用血液稀释剂,或者在手术前使用一种叫做TEE的特殊测试来寻找血栓. 这就是为什么你的血液测试必须反映你是充分抗凝(稀释)的程序之前完成.

The risks associated with a TEE include damage or irritation to the esophagus. The nurse will be sure that you are able to swallow liquids before you are discharged.

抽了多少血啊? 如果这是不够的怎么办?
通常, a PT and INR level are drawn and occasionally electrolyte levels are obtained. 印度卢比应该是2.0或更大. If not, the physician may decide to reschedule the procedure. 如果你的电解质水平异常, the physician may order supplementation or reschedule the procedure. If you are just starting on Coumadin you will need weekly lab work to adjust the dose.

复跳要持续多久?
没有具体的方法来判断. It depends on several factors including how long you were in atrial fibrillation, 你的心脏状况, 还有你的身体状况.

How long will I remain on Coumadin after my cardioversion?
两到四个星期. 医生会在办公室见你,并决定你是否需要继续服用香豆素或其他血液稀释剂药物. The physician will want to make certain that you are staying in a normal rhythm. PLEASE report any bleeding problems to your physician. This includes bruising, gum bleeding with tooth care, or any blood in your stool or urine. 不要光脚走路,小心刮胡子. You may need to hold pressure longer than normal on any cuts that you incur.

Thank you for choosing bg大游视讯app下载.
We hope your experience with us is an excellent one.