What are the pros and cons of cardioversion (electrical or medication) versus rate control?
Pros • Cardioversion is often an effective way to restore the heart to a normal rhythm. A fast heart rate can damage your heart muscle over time. • You may not have symptoms after your heart returns to a normal rate and rhythm. • You may not have to take blood-thinning medication if the heart returns to and stays at a normal rhythm. But your doctor may still suggest that you stay on blood thinners for a while after a successful cardioversion to help prevent stroke. Cons • A-fib may return, especially if it has been going on for a while, or if you have heart failure, an enlarged heart, or other heart problems. • You may need to take medications called anti arrhythmic drugs to reduce the chance of atrial fibrillation returning. • You may need to take blood-thinning medications before and after this procedure to help prevent stroke. What are the pros and cons of taking a medication to slow my heart rate? Pros • You may feel better even though your heart rhythm is still irregular. Cons • S