Doctor insights on:
A Fib Ablation
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Is supraventricular tachycardia hereditry? Had a heart ablation a while back for a rapid heartbeat.
Generally not: But some arrhythmias run in families....Talk to your physician. ...Read more
Can a paroxysmal atrial fibrillation and av node reentry tachycardia increase the risk for a heart attack?
Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for atril fibrilation?
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer