Doctor insights on:
Av Node Ablation Procedure
What do the experts think, should my physical fatigue go away after the av node ablation procedure with pacemaker?
If I have frequent unsustained SVT's and Frequent PAC's uncured by medication. And i don't want the cardiac ablation. What are the consequences of not having this invasive procedure?
Cardiac failure: Catheter ablation does have some serious risks, but they are rare. But the risks may not be worth it for people who have few symptoms. Most PACs/SVT run a benign course however if you have frequent PACs/SVTs then the risk of continuing without ablation include developing AF and SVT. Fast uncontrolled SVTs could result in fainting spells, cardiac failure and sudden death. Speak with a Cardiologist ...Read moreSee 2 more doctor answers
I had a cardiac ablation done 5 days ago...it went with no complications..however after the procedure i have constant shortness of breath when I talk?
See your doctor!: Complications from cardiac ablation are rare but can include blood clots forming in the legs or lungs. This is called a PE, and could cause shortness of breath. It's also possible (depending on the approach used) to have a partial lung collapse. See your doctor to rule out any serious problem causing your shortness of breath. ...Read more
How to choose the best hospital and the best cardiac electrophysiologist in nyc for cardiac ablation is the procedure ever life threatening? I do get SVT 4-5 times a year and have to go to the hospital for an adenosine shot. Is this procedure life threat
Hard.. and no.: Svt is never fatal (with ultra-rare exceptions you almost certainly don't have) and is treated for symptoms. You're wise to look for someone good, but it isn't always easy to find the top folks. I can give you some names, but i won't do it in broad forum; to do so would be an insult to the many other excellent eps also in the area. Nyc is awash in excellent ep and you have several options. ...Read moreSee 1 more doctor answer
Had cardiac ablation for afib. Now have been diagnosed with vagus nerve paralysis and diaphragm from the procedure. Should I seek neuro or gastric spe?
Vagus nerve: Likely both specialists would have relevant input into your situation depending ob symptoms ,if any. ...Read more
Not 100%: Nothing is 100%. The electrocardiologist will do their best to locate the exact location, but there is a chance they can't get it all and it will recur. While it works most of the time I frequently see patients that have had it done and it doesn't completely work. ...Read more
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
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 2 more doctor answers
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