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A synchronized cardioversion shock is delivered a few milliseconds after the R wave on the EKG. The R wave represents ventricular depolarization, which is followed by mechanical contraction of the ventricle. Therefore, it can be seen that a synchronized shock will occur during ventricular contraction, or during ventricular systole, to completely depolarize the myocardium and try to restore a normal rhythm.

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Q: Where on the cardiac cycle does a synchronized shock land?
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