Doctor insights on:
Ablation Recommended For Wpw
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
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
Yes: Catheter ablation is considered a first line therapy for symptomatic WPW syndrome. It's highly effective in the majority of cases. It's generally safe with a low incidence of serious complications and since WPW can (rarely) result in sudden death, the benefit of ablation justifies the small risk. ...Read moreSee 3 more doctor answers
Not very effective. : Ablation for regular tachcardias such as supraventricular tachycardia or atrial fibrillation is very successful (>90%). Ablation for atrial fibrillation which is chaotic rhythm is either not successful or if initial success, the positive outcome is not sustained. In other words there is a high rate of recurrence. ...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
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: It is actually known as catheter ablation. Catheter ablation has very little risk when performed by an experienced cardiologist. The ablation procedure provides a cure over 95% of the time and can be performed without significantly increased risk in children as young as five years. Recovery is quick with most patients returning to full activity in a few days. ...Read moreSee 2 more doctor answers
Pretty safe: If you do in university major teaching hospital and the md does this a lot, your complication should be low around 1%. So try to do at a place that the md only does this (cardiac electrophysiologist) for the living. Then you have a good chance to be well without any complications. ...Read more
What is prophylactic rf ablation and why is it used to prevent arrhythmias in WPW patients? I'm on propranolol for symptomatic wpw. Should I have thi
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
Pharmacotherapy: Drug therapy of arrhythmias is individualized and there is a lot of overlap of medications used for atrial and ventricular arrhythmias. When the heart function is otherwise normal, drug therapy is 'safer' than in patients with abnormal ventricular function. Having said that we often have to treat arrhythmias in patients with abnormal ventricular function. Discuss with your doctor for your specific ...Read more