Update on "Cardioversion Without TEE"

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John.P.McDevitt@gmail.com - 11 Apr 2006 20:15 GMT

A couple of months ago I posted here about an upcoming (now finished)
cardioversion. My concern was that the doctor initially was not going
to perform a TEE, but after I expressed my unease it was no problem to
get it done.

There were some cancellation/scheduling issues, but the procedure was a
success and I am still in sinus as of yesterday (3 weeks). In each of
my past cardioversions, I have been fine for about a year and a half
afterwards.

The real reason that I write this is regarding the TEE. The TEE was
performed by a specialist in his office the day before the
cardioversion. He told me that, since I have had open-heart surgery
for ASD repair (and have a pretty large patch in there), I was
absolutely right to request the TEE and should absolutely do it in the
future (incidentally, he's the same doctor who found the hole 6 years
ago).

I did not think to mention the ASD repair in my original post months
ago. Would that have changed some of your responses about whether or
not to get the TEE?

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Andrew B. Chung, MD/PhD - 12 Apr 2006 08:28 GMT

> A couple of months ago I posted here about an upcoming (now finished)
> cardioversion. My concern was that the doctor initially was not going
[quoted text clipped - 17 lines]
> ago. Would that have changed some of your responses about whether or
> not to get the TEE?

No.

Such is the power of wisdom from the LORD.

Will be available to "glow" and chat about this and other things like
cardiology, diabetes, Bird Flu, the Lamb's opening of the 6th seal (Rev.
6:12), cooking and nutrition that interest those following this thread
here during the next on-line chat (04/13/06***) from 5 to 6 pm EST, LORD
willing:

http://tinyurl.com/8w7uq

*** The Passover Moon might be fully blood red this year now that the
Lamb has possibly opened the 6th seal.

For those who are put off by the signature, my advance apologies for how
the LORD has reshaped me:

http://tinyurl.com/7mcuo

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/gbj6w

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LMac - 12 Apr 2006 16:35 GMT

I think it's a tough equation. I think that the Cardioversion involves
a variable risk and probably some contingency planning if there are
higher risks due to conditions internal to the heart. The first call
should be with the Cardio performing the procedure. If he/she wants a
TEE, do it or find another Cardio. Otherwise, it evolves into a
discussion of the risk (odds) of adverse happenings without the
diagnostic procedure versus the risks of the TEE, itself.

In my own case, the adverse risk of TEE was about 1 in 20. The odds of
my particular ASD causing near-term problems were less than 1 in 50
given a successful Plavix regimen. I opted, with concurrence of the
Cardio to cease diagnostics and defer the TEE. I walk around with an
ASD but am very "watchful."

I'd agree that visualizing the current status of the ASD repair was a
wise move once you were committed to the Cardioversion.

Sorry I can't offer some biblical spam here! Take care, eat wisely,
exercise frequentl, to your capacity, and enjoy life!

...LMac

odds of the TEE se clot environment or other physical abnormality
affecting the Cardioversion outcome. If he or she wants to define the

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John.P.McDevitt@gmail.com - 13 Apr 2006 00:13 GMT

> > A couple of months ago I posted here about an upcoming (now finished)
> > cardioversion. My concern was that the doctor initially was not going
[quoted text clipped - 31 lines]
> Cardio to cease diagnostics and defer the TEE. I walk around with an
> ASD but am very "watchful."

The adverse risk of a TEE was as high as 1 in 20? What were the risks
there?

> I'd agree that visualizing the current status of the ASD repair was a
> wise move once you were committed to the Cardioversion.
[quoted text clipped - 6 lines]
> odds of the TEE se clot environment or other physical abnormality
> affecting the Cardioversion outcome. If he or she wants to define the

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