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Quote
Jackie
George - Yes, there is the 48-hour window 'rule' but based on my experience (here), but that doesn't mean you can show up at hour 47 and expect to have the cardioversion. I found it necessary to make the decision to call in advance for assistance at about hour 24 duration. I would call and they would give me an approximate arrival time. There would be a certain amount of prep time and then I'd be in a 'holding' pattern waiting for a slot to open in the procedure area. I never had to call and cancel because I self-converted in the interim. I pretty much knew if I reached 24 hours, I was going to need ECV... although I did wait longer on a few occasions and did convert around 27 hours.
For me, there was nothing local, so I had to calculate in at least an hour's drive and then the check in process which could be another 30 minutes or more so if my Afib or flutter went on and on, then, about hour 20 I'd start fasting and gather what I'd need for the trip and place the call to the nurse's line or the night shift message system if that were the case. They'd call early in the morning and I'd be ready to leave at that time.
Other locations may have 'walk-in service' where you can be processed quickly, but not here..... making it important for afibbers to check out their local facility protocols ahead of time in order to observe the 48-hour rule and be seen within that window.
Jackie
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