Synchronized cardioversion is simply a well-timed defibrillation. While it typically starts at lower doses, synchronization can occur at any energy level. When we hit “sync,” the monitor identifies the patient’s R waves. When we hit the shock button, we hold it and the monitor will deliver a shock on the next R wave (in contrast to a defib that full sends as soon as we hit the button). Why? In order to miss the relative refractory period: the second half of the T wave where stimulation can cause
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Synchronized cardioversion is simply a well-timed defibrillation. While it typically starts at lower doses, synchronization can occur at any energy level. When we hit “sync,” the monitor identifies the patient’s R waves. When we hit the shock button, we hold it and the monitor will deliver a shock on the next R wave (in contrast to a defib that full sends as soon as we hit the button). Why? In order to miss the relative refractory period: the second half of the T wave where stimulation can cause
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Dr. Chad on Instagram: "⚡️ Synchronized Cardioversion Explained ⚡️ Sometimes the heart gets “out of rhythm” into dangerous arrhythmias like atrial fibrillation, atrial flutter, or unstable supraventricular tachycardia (SVT). 🫀 👉 Synchronized cardioversion delivers a controlled electric shock that’s timed (synchronized) with the heart’s electrical cycle. This avoids shocking during the vulnerable repolarization phase (which could trigger ventricular fibrillation). ✅ Used when the patient is uns
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