Doctor insights on:
Artificial Pacemaker Complications
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 moreSee 2 more doctor answers
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
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
Depends: Not a straightforward answer since it would depend on the valve needing replacement, the degree of injury, and type of valve to be used. Often mechanical valves need longer and more intense anti-coagulation to keep them going. Best to discuss options with the cardiac surgery team contemplating the procedure. ...Read moreSee 1 more doctor answer
What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?
Analyse risk/benefit: Artificial heart valves came on the medical scene in 1961. Prior to these life savers, open heart surgeons could repair damaged heart valves. A valve repair might last 1 to 6 years. The question you need answered is... Without a heart valve how will my health be? From that point you can get the risk of implanting and maintaining your new valve. Take a friend/family with you to help decide. ...Read moreSee 1 more doctor answer
No: Atrial fibrillation is an irregular heartbeat of the upper chambers of the heart. Its greatest danger is the formation of bloodclots within the heart which can trravel up to the brain and cause a stroke. Patients with af are generally treated with anticoagulants or blood thinners like aspirin, warfarin (coumadin) or dabigatran (pradaxa) to prevent strokes and medication to control the heart rate. ...Read moreSee 2 more doctor answers
There are several: The complications of aortic valve replacement include bleeding, blood transfusions, stroke, infection, renal failure, reoperation, atrial fibrillation and death. Therre are more as well. Fortunately the risks of aortic valve surgery are relatively small for most patients. The exact risks vary from patient to patient. The average risk of death is about 1-2% for most aortic valve replacements. ...Read moreSee 1 more doctor answer
New Guidelines: This is somewhat complex and will not all fit in 400 characters so I am creating initials. 1. Ischemic cardiomyopathy, i.C., with ejection fraction, ef, >30% but <35%, newyork heartassoc, nyha, class ii or iii, and >30 days post mi/revascularization. 2. Ic, ef <30%. 3. Ic, ef between 36-40% with inducible ventricular fibrillation or tachycardia, 4. Non-ic with ef <35% and nyha class ii or greater. ...Read moreSee 1 more doctor answer
Both done very: Successfully and routinely.Get a more detailed answer ›
Warfarin user refused neck surgery too dangerous need warfarin friendly pain management medicine artificial aorotic heart valve?
Second Opinion: This is not an unusual problem. You cam be transitioned to another anti-coagulant with the help of your cardiologist prior to the operation. The surgeon can then do the surgery and you can be placed back on your coumadin (warfarin). Discuss with your cardiologist about recommendations for another surgeon. ...Read moreSee 1 more doctor answer
Drinking alcohol after having mitral valve heart surgery for leaky heart valve allowed? Will alcohol have any effects on repaired heart valve?
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