Doctor insights on:
http://www. Patient. Co.Uk/doctor/ablation-therapy-for-arrhythmias.
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 more
Will the accuracy of mapping of the heart be compromised if general anesthesia is used during mapping for a pediatric atrial ablation?
Great question: It's variable depending on location (left vs right sided). Talk to the electrophysiologist who would perform to get best information specific. ...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 more
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
If you've had a previous ASD repair with your own tissue, can you still be able to get an ablation for atrial fibrillation decades later?
I had catheter ablation for atrial flutter at BW. How long before I resume normal exercise. I was a rower & am used to strenuous workouts. I am 62.
Is there a number one doctor-recommended reference source to know more about ablation of atrial fibrillation?
O've had two heart surgeries as a child and had an ablation for atrial fibrillation. How often should I see my cardiologist?
Visit returns: Frequency for re checks really depends on the problem (s) and the symptoms. Not knowing what your surgeries were or the success of the ablation it is hard to say. If all has been repaired and no symptoms and sinus rhythm are stable, then yearly visits would likely be fine. If you're having problems, then they would dictate the frequency of return visits. ...Read more
Can cardiac ablation for atrial fibrillation cause damage to the coronary arteries close to the ablation site
Yes but it's rare: The coronary arteries, most specifically a branch of the left circumflex artery run directly beneath a structure called the left atrial appendage. Ablation in that region, or just behind it puts rf energy near that artery. However, the artery has very high flow (relatively speaking) and is thus protected from damage the majority of the time. ...Read more
I have atrial fibrillaiton and have no success controlling it. I'm looking for advice on possible ablation?
Possibilities: Possibilities are av node ablation which is burning the av node with radio frequency, rf, ablation or ablation of the atrial fibrillation which requires scarring of the surrounding pulmonary vein. In some cases av node ablation may result in the need for a pacemaker. Atrial fibrillation ablation is more successful if the left atrium is less than 4.5cm and the duration of the af is less than 6 mos. ...Read more
What to do if I have atrial fibrillaiton and have no success controlling it. I'm looking for advice on possible ablation?
Boston?: You live in city that is overflowing with amazing medical facilities! Ask your doctor for a referral to an electrophysiologist. The Brigham and Women's Hospital has one heck of a good reputation! (as do many other Boston hospitals). ...Read more
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
What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation
Alternate technique: My understanding is that FIRM (focal impulse and rotor modulation) ablation is, perhaps, a more advanced ablation system using a very sophisticated catheter that, purportedly, maps locations/rotors that seemingly could trigger & sustain AF. Success up to 80% in controlling AF for 2 years is reported, better than with standard ablation. Risks should be similar. Careful case selection is important! ...Read more
I unfortunately have a dilated left atrium and afib Lateral size 6.00 cm Is there any point in an ablation to ease this disease?
I had catheter ablation for SVT and atrial flutter yesterday. Should I feel a different heartbeat if I'm cured?
How safe is a cardiac ablation? Will it help to cure atrial fibrillation? If it does, will I have to continue taking medication
Usually safe: Although many serious complications can occur during an ablation, when performed by a skilled physician with plenty if experience in a good hospital it is usually very safe. When successful an ablation may allow a patient to come off medications prescribed for the arrhythmia which was ablated. Atrial fibrillation is an arrhythmia which can be cured with ablation. ...Read more
I understand that atrial fibrillation is a type of arrhythmia. Is ablation used to treat only afib or other arrhythmia conditions?
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
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
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
I had afib and had a ablation and now have left atrium tachacardia, now they want to do another ablation. I am on coreg (carvedilol) and flecainide. What to do?
Choices: If your heart rate is controlled and you don't have symptoms of palpitations or shortness of breath, and if you're willing to take an anticoagulant like warfarin, you can get by without another ablative procedure. However it's best to follow the advice of your cardiologist who knows all your case. ...Read more
Eectrophysiologist: I agree that an electrophysiologist wil provide the best information regarding catheter ablation. It is important to ask questions regarding outcomes and success rates. I would recommend a university setting for this type of ablation that will provide the best staff as well as equipment. ...Read more