Editing Cardioversion (section)

=== Cardioversion ===

Once the machine is synced with the patient's cardiac rhythm, the machine must be charged. To determine the amount of energy (measured in joules "J") the patient requires, many factors are considered. As a rule of thumb, recent-onset atrial arrhythmias require less energy compared to persistent atrial arrhythmias. If the cardiologist suspects that the patient may be less respondent to cardioversion, a higher energy may be utilized. Once the machine is synced and charged, a shock can be delivered to the patient.<ref>{{cite journal | vauthors = Sirna SJ, Ferguson DW, Charbonnier F, Kerber RE | title = Factors affecting transthoracic impedance during electrical cardioversion | journal = The American Journal of Cardiology | volume = 62 | issue = 16 | pages = 1048–1052 | date = November 1988 | pmid = 3189167 | doi = 10.1016/0002-9149(88)90546-2 }}</ref>

====Recommended Energy Levels====
* ''Atrial Flutter and SVT: '''50-100 J''' for biphasic devices; 100 J for monophasic devices''
* ''Atrial Fibrillation: '''120-200 J''' for biphasic devices; 200 J for monophasic devices''
* ''Ventricular Tachycardia (with a pulse): '''100 J''' for biphasic devices; 200 J for monophasic devices''
* ''Pulseless Ventricular Tachycardia and Ventricular Fibrillation: '''120-200 J''' for biphasic devices; 360 J for monophasic devices''<ref>{{cite journal | vauthors = Fuster V, Rydén LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S, Smith SC, Jacobs AK, Adams CD, Anderson JL, Antman EM, Halperin JL, Hunt SA, Nishimura R, Ornato JP, Page RL, Riegel B, Priori SG, Blanc JJ, Budaj A, Camm AJ, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo JL, Zamorano JL | display-authors = 6 | title = ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society | journal = Circulation | volume = 114 | issue = 7 | pages = e257–e354 | date = August 2006 | pmid = 16908781 | doi = 10.1161/circulationaha.106.177292 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Zipes DP, Camm AJ, Borggrefe M, Buxton AE, Chaitman B, Fromer M, Gregoratos G, Klein G, Moss AJ, Myerburg RJ, Priori SG, Quinones MA, Roden DM, Silka MJ, Tracy C, Smith SC, Jacobs AK, Adams CD, Antman EM, Anderson JL, Hunt SA, Halperin JL, Nishimura R, Ornato JP, Page RL, Riegel B, Blanc JJ, Budaj A, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo JL, Zamorano JL | display-authors = 6 | title = ACC/AHA/ESC 2006 Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (writing committee to develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society | journal = Circulation | volume = 114 | issue = 10 | pages = e385–e484 | date = September 2006 | pmid = 16935995 | doi = 10.1161/CIRCULATIONAHA.106.178233 | doi-access = free }}</ref><ref>{{cite journal | vauthors = Link MS, Atkins DL, Passman RS, Halperin HR, Samson RA, White RD, Cudnik MT, Berg MD, Kudenchuk PJ, Kerber RE | display-authors = 6 | title = Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care | journal = Circulation | volume = 122 | issue = 18 Suppl 3 | pages = S706–S719 | date = November 2010 | pmid = 20956222 | doi = 10.1161/CIRCULATIONAHA.110.970954 | doi-access = free }}</ref>