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Doctor insights on: A Fib Ablation

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Would a pacemaker repair atrial fibrillation?

Would a pacemaker repair atrial fibrillation?

Not directly.: Pacemakers might be implanted as part of a care plan for af - but this only prevents slow pulses that might come as a result of medications for the af or after av-node ablation. Pacemakers themselves can not prevent or control af. ...Read more

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Dr. Jeffrey Stevens
2 doctors shared insights

Ablation (Definition)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a ...Read more


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What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

Definitive Control: We don't generally do this with surgery, but rather with a "catheter" based procedure (wire we thread into the heart that cauterizes the av node). This procedure provides complete control of the heart rate in the lower chamber and excellent symptom control, but makes people dependent on the pacemaker that *must* be implanted with this procedure. ...Read more

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Which is better for an atrial flutter: cardioversion or ablation?

Which is better for an atrial flutter: cardioversion or ablation?

Define better please: What does better mean? Initial atrial flutter ablation success rates run around 80-85%. This for the typical flutter variety. A form of atrial flutter called atypical atrial flutter has a much lower success rate. But ablation is invasive, meaning there is inherent risk such as perforation of the heart, pericardial effusion, need for permanent pacemaker implantation, etc. Such risks are very rare ...Read more

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Can you have a catheter ablation for a heart arrhythmia?

Can you have a catheter ablation for a heart arrhythmia?

Yes: Catheter ablations for cardiac arrhythmias are now well-established procedures. The specifics in terms of likelihood for success and/or complications depends on the exact nature of the dysrhythmia. You should see a heart rhythm specialist called an electro physiologist for more information. ...Read more

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Is cardioversion or ablation more effective for treating an atrial flutter?

Cardioversion/ablati: Cardioversion is used to treat individual episodes if they don't recurr frequency, if chronic or recurrent atrial flutter is present, then ablation attempts to prevent the rhythm from recurring long term hopefully permanently. ...Read more

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Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for atril fibrilation?

Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for     atril fibrilation?

Maybe: If site has healed there should be no problem. If recent thrombin injection or recent surgical repair, access should be gained in other groin. ...Read more

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Does an ablation for svt hurt?

Does an ablation for svt hurt?

Ablation: read this for information: http://www.webmd.com/heart-disease/atrial-fibrillation/radiofrequency-catheter-ablation-for-atrial-fibrillation

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I am on flecaidine and diltiazem. Had an ablation for reentrant atrail tachycaria. Would a pacemaker to next if the ablation didn't work?

I am on flecaidine and diltiazem.  Had an ablation for reentrant atrail tachycaria.  Would a pacemaker to next if the ablation  didn't work?

Pacemaker: A pacemaker isn't really preventive therapy for atrial tachycardia. There is a function called antitachycardia pacing which can sometimes convert an atrial tachycardia back to sinus rhythm and is available in some pacers. This question is best discussed with your electrophysiologist. ...Read more

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Is atrial fibrillation a disability?

Is atrial fibrillation a disability?

It can be: If afib is difficult to treat ie unable to convert patient to normal rythm or unable to slow rate down with medicines, or perhapse the patient can't tolerate the medications to treat the problem , a person can be disabled. Pts with pre existing heart problems may not tolerate afib as well. Ablation therapy is not always effective and some patients may need a pacemaker. Just depends on pt ...Read more

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What's the difference between catheter ablation and radiofrequency ablation for treating arrhythmias like svt?

What's the difference between catheter ablation and radiofrequency ablation for treating arrhythmias like svt?

General term: Catheter ablation is a general term referring to elimination of electrical conduction in very specific areas of the heart. Two primary technologies are used to perform catheter ablation. Radiofrequency energy is a rapidly alternating electrical current that generates heat at the point of catheter contact. Cryo ablation uses super cooled nitrogen to freeze at the point of of catheter contact. ...Read more

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Does a patient in v-tach, v-fib have a pulse?

Does a patient in v-tach, v-fib have a pulse?

Vtach/Vfib...: A person in ventricular tachycardia may have a pulse (or might not!) whereas a person in ventricular fibrillation never has a pulse. A monitor is needed to identify the heart rhythmn. ...Read more

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Effect of radiofrequency ablation treatment for heart arrhythmia?

Effect of radiofrequency ablation treatment for heart arrhythmia?

Usually curative: In experts hands, the energy from radio-frequency waves can burn the abnormal electrical pathway or "short circuit" in the heart that is allowing the arrhythmia. ...Read more

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How successful is the cath radiofrequency ablation for WPW treatment?

How successful is the cath radiofrequency ablation for WPW treatment?

Very effective: Catheter-mediated radiofrequency ablation is the preferred therapy for treatment of accessory pathways (ap). The success rate rivals that of surgery, with a comparable or lower mortality and a lower acute morbidity. Numerous series have reported success rates of 90 to 95 percent, depending upon the location of the ap and the precision of localization of the pathway. ...Read more

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For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

Depends: on left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. www.thepmc.org ...Read more

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Which procedure would be best for a endometrail ablation thermal or novasure?

Which procedure would be best for a endometrail ablation thermal or novasure?

Either one: There really is no good answer to that question. The procedures are equally effective for most women. If your uterus is larger then 8-9 cm, your physician may choose thermal ablation which may be better for larger uterine cavities. If your procedure is done in the office, my experience has been that novasure is somewhat better tolerated and certainly quicker for the patient. ...Read more

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Dr. John Garner
1,840 doctors shared insights

Atrial Fibrillation (Definition)

A quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure, ...Read more