A 58-year-old female asked:
electrophysiologist: what would indicate the need for a substrate catheter ablation for some one who is only a paroxysmal afibber? thanks
3 doctor answers
Dr. Atique Mirza answered
30 years experience Cardiology
Medication failure: If you fail the medication treatment then you have the indication for ablation.
Answered on Mar 19, 2014
Dr. Bennett Werner answered
43 years experience Cardiology
Symptoms: Intolerable symptoms and failure of medical therapy. From your profile, it would seem that you've failed flecainide. Tikosyn/dofetilide can be used, but ablation is likely to be more effective, especially if combined with meds. If you have no symptoms, i personally wouldn't do it.
Answered on Mar 20, 2014
Dr. Miguel Salazar answered
16 years experience Cardiac Electrophysiology
Depends : It all depends on what is driving and or triggering your atrial fibrillation. The standard approach for someone with paroxysmal afib is a pulmonary vein isolation. However, if these patients are put into atrial fibrillation and then ablated with complex fractionated electro gram (CFAE) ablations - sometimes the triggers and substrate for afib are not localized to the region of the pulmonary veins.
Answered on Oct 18, 2015
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
People also searched for:
Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute!