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Division of Cardiovascular Medicine Cardiac Diagnostic Unit Clinic 2K Durham NC 27710 (919) 684-5295 Press 1 Your physician has scheduled a Direct Current Cardioversion (DCCV) for you on: Date: Time: Location of the study: Ordering Physician: Phone: This procedure is used to convert an abnormal or irregular heart rhythm back to a normal heart rhythm by applying an electrical shock to your heart through special electrodes placed on the chest and back. You will be given medication through an IV (intravenous) catheter and will be asleep during the cardioversion, and you will not remember the procedure. You will be monitored closely during the procedure and will awaken 5 to 10 minutes after the cardioversion. Some chest wall tenderness may be present for a few days after your cardioversion. After the procedure, do not drive a vehicle for 24 hours. For some patients, an imaging test called a Transesophageal Echocardiogram (TEE) may be performed with the cardioversion to make sure that there are no blood clots in the heart. This is an ultrasound of the heart that is done by inserting a small tube into your esophagus (food tube). You will be given medication to numb your throat. If you have a TEE with your cardioversion, you will not be allowed to eat or drink anything for 2 hours after the procedure. PATIENT INSTRUCTIONS 1. Do not eat or drink after midnight the night before the procedure. If you must take medications, take them with only a sip of water. 2. A driver must bring you to your appointment and stay with you the entire time. ***You may not drive for 24 hours after the procedure. If no one is available to accompany you and drive you home, the study will be cancelled and rescheduled.*** 3. Notify the doctor or nurse if you have allergies, diabetes or an implanted defibrillator or pacemaker. 4. Please bring a current list of your medications. 5. Confirm with your doctor that you are taking an appropriate dose of anticoagulation (blood thinning) medication. DAY OF APPOINTMENT Please arrive 30 minutes before the scheduled time. This allows extra time for parking and check-in. Expect to be in the clinic for 2 to 3 hours from your scheduled time. Due to the small size of the waiting room we ask that you limit the persons with you to no more than two. Children must be accompanied by an adult at all times. TEST LOCATION Duke Hospital, 2301 Erwin Road, Durham, NC 27710 Parking is located across the street from the hospital. The entry into the parking deck is from Elba Street (via Fulton Street) or from Erwin Road. Valet parking ($7 cost) is available in the circle in front of Duke Hospital. Wheelchairs are available in the main hospital lobby and on the T Level in the parking deck for your use. We do not provide parking vouchers. Check-in at the Cardiac Catheterization Waiting Room. As you enter Duke Hospital, take the main elevator to the 7th floor, exit the elevator to the right and turn left into first hallway. The Cardiac Catheterization (Cath) Lab Waiting Room (Room 7416) is the first single door on the right. CONTACT THE ORDERING PHYSICIAN TO DISCUSS THE RESULTS. They will be available within 24-48 hours after the study is completed. Continue all your medications including anticoagulant medications unless otherwise directed by your physician. For clinical questions call the treatment room nurse at (919) 681-7241 from 7 am to 3:30 pm, Monday through Friday. To reschedule the procedure, call (919) 684-5295, Option 1.