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Doctor insights on: Ablation Vs Pacemaker

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Do you think ablation is better than a pacemaker?

Do you think ablation is better than a pacemaker?

It depends: It is typically better to ablate an abnoral rhythm, because the procedure usually offers a permanent cure. The indications for pacemaker and ablation are quite different, but there are rare circumstances where both could be offered as treatment. ...Read more

Dr. M. Hytham Beck
2 doctors shared insights

Pacemaker (Definition)

A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more


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Risks during the ablation and pacemaker implantation?

Risks during the ablation and pacemaker implantation?

Risks of ablation: Mostly the risks are the same as for other procedures, including infection and bleeding, but also rhythm disturbances of the heart and the development of fluid around the heart. In addition, the risks for pacemakers include pneumothorax or the presence of air around the lung. These are usually safe procedures which are performed by trained cardiologists. ...Read more

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Can I have cardioversion for paroxsysmal AF if I had a pacemaker? Or should I have ablation?

Can I have cardioversion for paroxsysmal AF if I had a pacemaker? Or should I have ablation?

Either procedure is: safe for you with a pacemaker but you will need to review your history of treatment for afib with your health care provider to decide which one or both are appropriate for your management. ...Read more

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
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So if I have the AV node ablation why would I be dependent on my pacemaker for the rest of my life? I don't understand why that happens.

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
So if I have the AV node ablation why would I be dependent on my pacemaker for the rest of my life? I don't understand why that happens.

Permanent block: Ablation of the AV node results in complete block of all electrical impulses coming from above in the atrium that is permanent. Since there is no impulse to stimulate the lower ventricle from above a spontaneous beat is generated in this chamber but at a much slower rate often in the 30s. Thus the need for a permanent pacemaker since ablation is irreversible ...Read more

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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?

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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My mom had 3 ablations and still has AF. Is it recommended to try a 4th ablation or go for the pacemaker? Could a 4th ablation be successful or useles

On meds?: Is she taking antiarrhythmic medication now - even if it failed previously, it often works after an ablation. Tikosyn (dofetilide) is particularly effective. A pacemaker will not restore normal rhythm. She'll still be in atrial fibrillation but her rate will be made regular by AV node destruction and pacing. It's the very last resort. Finally, a 4th ablation may well work if the others haven't. ...Read more

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I had a pacemaker put in last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

I had a pacemaker put in  last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

AV node ablation: AV node ablation prevents the fast heart rhythm in the upper chambers (such as SVT or atrial fibrillation), from affecting the lower chambers. If the fast rate of the lower chambers can not be controlled, it could damage your heart. The concern is that the AV node ablation, leaves you dependent on the pacemaker for life. Continue discussing with heart rhythm specialist, to answer all questions. ...Read more

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How often do cardiac ablation surgeries result in complications requiring pacemakers implantation?

It depends: It depends on the ablation type: almost never for wpw, atrial fibrillation/flutter or ventricular tachycardia; 1% or less for avnrt (atrioventricular nodal reentry tachycardia). In avnrt, there is an extra 'lane' in the av node that conducts electrical impulses leading to tachycardia and the ablation can unintentionally damage the whole av node resulting in heart block and need for pacemaker. ...Read more

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My heart rate goes real high and real low. Would a AV node ablation help me. I know that it would leave me dependent on my pacemaker. ?

My heart rate goes real high and real low. Would a AV node ablation help me. I know that it would leave me dependent on my pacemaker. ?

This depends on: what is driving your heart rate to be fast. If you already have a pacemaker, you should have a cardiologist and likely an electrophysiologist. You should review a question like this with your heart doctor as he/she will know your history much better and be able to provide a more educated answer. ...Read more

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My 8yo son has cardiac svt. He had an ablation last year, but it was unsuccessful because his problem area lies in the av node. Can ablation solve this without installing a pacemaker?

My 8yo son has cardiac svt. He had an ablation last year, but it was unsuccessful because his problem area lies in the av node. Can ablation solve this without installing a pacemaker?

Very possibly: My understanding is AV nodal reentrant tachycardia is the most common cause of supraventricular tachycardia. Ablation may be the preferred treatment, especially in a child, who would experience years of freedom from symptoms. Catheter ablation carries a 90% success rate, which means 10% may need further treatment. Repeat ablation can be done with a similarly high success rate. I hope he does well. ...Read more

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With a pacemaker implant and an AV Node ablation, why would you want to pace the atria but not the ventricles?

With a pacemaker implant and an AV Node ablation, why would you want to pace the atria but not the ventricles?

Pacing: AV node ablation requires ventricular pacing or atrioventricular pacing, atrial only is not appropriate in AV block. ...Read more

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Recently diagnosed with Sjogren's & APS. I wonder if autoimmune can causing arrhytmias? I have hx of SVT and VT before ablation & wearing a pacemaker.

Recently diagnosed with Sjogren's & APS. I wonder if autoimmune can causing arrhytmias? I have hx of SVT and VT before ablation & wearing a pacemaker.

There are extremely: rare autoimmune conditions that can affect heart rhythm. It is unlikely this is the cause of your SVT and VT especially since you had an abatable focus. These autoimmune causes of arrhythmia are not treated with ablation and pacing so your autoimmune disease is unlikely to be related. ...Read more

Dr. John Chiu Dr. Chiu
2 doctors agreed:
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I have had cryo-ablation three cardioversions and still Afib, Now want to do an ablation with heat and start tikosyn. would a pacemaker be better?

Dr. John Chiu Dr. Chiu
2 doctors agreed:
I have had cryo-ablation three cardioversions and still Afib, Now want to do an ablation with heat and start tikosyn.  would a pacemaker be better?

2nd opinion: Believe it is time for you to get a 2nd opinion to find out what may be a better option for you given that 3 attempts on ablation have failed. ...Read more

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I had a pacemaker put in last year. I had a ablation done also. Now they are talking about going in and atrial ventricular node. How would it help me?

Total control: To obtain total control of your heart beat,ablation of the AV node is necessary to interrupt all beats from the atrium above and let the pacemaker in the ventricle control your heart beats. I assume the initial ablation apparently failed to correct the A Fib and you continue to have fast uncontrolled heart rate,thus the decision to ablate the AV node ...Read more

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Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Electricity : The heart is a house with 2 chambers upstairs (atria) and 2 chambers downstairs (ventrical). The electricity to the downstairs chambers comes from the upstairs chamber. The connecting point between the tow floors is called AV node. If you cut this AV node, the lower chambers will not have electricity to work, so u need to provide the lower chamb with anther source of electricity, that is pacemaker ...Read more

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Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Complex question: Your best off using HealthTap Prime to ask this question, since it's complex & answer is nuanced. The only problem, as I see it, is that with ongoing AF, you can develop clots (thombus) that can dislodge & cause a stroke. Your heart RATE should be controlled by the pacemaker, so the only adverse effect of AF would be a stroke. This can be mitigated by anticoagulants (blood thinners). Use HT Prime. ...Read more

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Had a cardiac ablation two weeks ago and now my heart ratee is going from 50 to as high as 130 Could that mean a pacemaker Getting an even monitor?

Had a cardiac ablation two weeks ago and now my heart ratee is going from 50 to as high as 130 Could that mean a pacemaker Getting an even monitor?

Great question!: Since you've already had an ablation, you already have an expert at your disposal to help answer this question - the same doctor who did your procedure. He or she needs to know your symptoms in order to obtain any additional testing, which may well be an event monitor. Call today! ...Read more

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If my blood pressure goes real high and real low would a AV node ablation help me not go fast nor to low? I know I would be dependent on my pacemaker.

If my blood pressure goes real high and real low would a AV node ablation help me not go fast nor to low? I know I would be dependent on my pacemaker.

AbsolutelyNot, BP is: determined by the interaction of cardiac output combined with relative opening (Total Peripheral Resistance) of all the arterioles (end arteries just prior to capillaries), body wide, both under direct split-second control from the brain 24/7. The AV node electrically links the atrial & ventricular muscles; does not directly affect cardiac output or TPR. Ablation would make you dependent & worse! ...Read more

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I recently had a nodal ablation and permanent pacemaker implant for afib relief. I still feel flutter, would additional drug treatment help?

I recently had a nodal ablation and permanent pacemaker implant for afib relief. I still feel flutter, would additional drug treatment help?

See your doctor: Sometimes it takes more than one ablative procedure to get it under control and often the medications need to be tweeked. Most importantly avoid alcohol as it can trigger a fib. If you are unable to do this seek help. ...Read more

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What is a pacemaker?

What is a pacemaker?

Heart device.: A cardiac pacemaker is a device that is implanted in the chest to permanently regulate heartbeat rhythms. The pacemaker monitors the heartbeat to make sure it is not beating too slowly, and when necessary transmits electric pulses to the heart to increase the heartbeat pace. Pacemakers are periodically replaced every several years when the battery runs out. ...Read more

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How to test a pacemaker?

Pacemaker clinic: You need to go to pacemaker clinic at a hospital where they will "interogate" it. You cannot do it by yourself. ...Read more

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What are fixed pacemakers?

Fixed rate: I assume you mean fixed rate pacemakers. We don't use them anymore. The very earliest pacemakers just fired at whatever rate you set them, once a second if you set the rate to 60. That lead to chaos if the patient's inherent heart rate was not always real slow. So they made pacemaker's which sense normal beats and only fire if the rate gets slow. They are inhibited when a heartbeat is sensed. ...Read more

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What people need pacemakers?

What people need pacemakers?

Slow heart rate: The typical reason to get a pacemaker is slow heart rate *hr), say, below 40 beats a minute. Some people get pacemakers because their hr won't increase with exercise. The most common reason is atrial fibrillation, which can often lead to slow hr. Slow hr causes fatigue or out of breath with exertion or passing out. Some people get special pacemakers to improve heart function if the heart is weak. ...Read more

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Are pacemakers made of metal?

Yes: Yes they have metal casings and electronic insides. ...Read more

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When are pacemakers necessary?

When are pacemakers necessary?

HeartRhythm or block: Pacemakers are most commonly necessary for patients with bradycardia- slow heart rate, tachycardia - fast heart rate, and heart block - when the heart stops beating for several seconds. ...Read more

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What causes pacemakers to work?

What causes pacemakers to work?

Pacemakers: A pacemaker is a battery driven device. It is actually a small computer. Some of its functions are like a radio receiver, its pacing function is just delivering a tiny shock to the heart. A defibrillator delivers a bigger shock to the heart. ...Read more

Dr. Hirenkumar Italia
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