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Doctor insights on: Cardiac Ablation Select Hospital

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What can be done for implantable cardioverter defibrillator versus heart bypass surgery?

What can be done for implantable cardioverter defibrillator versus heart bypass surgery?

Different indication: Aicd for arrhythmias and ventricular tachycardia and does not revascularize. Bypass for coronary blockage (which can have arrhythmias) to improve circulation and sometimes stops arrhythmias induced by ischemia- low flow. ...Read more

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Dr. Jan Lei Iwata
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


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I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

Different things: Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition. ...Read more

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Is an implantable cardioverter defibrillator removed in heart bypass surgery?

Is an implantable cardioverter defibrillator removed in heart bypass surgery?

No: The defib. Device is implatnted in the inner chambers of the heart and bypass is on the out side of the heart where the coronary arteries lie.Unless theres another reason to remove the device ie an infection the device is left in. ...Read more

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Catheter ablations for wpw?

Catheter ablations for wpw?

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 more

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For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

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

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What specialty performs the cardiac catheterization?

What specialty performs the cardiac catheterization?

The "Other" Guys: Interventional cardiologists are what they call themselves. Those are the guys who deploy stents. Many general cardiologists also do their own "diagnostic" catheterizations to look at, but not fix arteries. ...Read more

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Who are candidates for a cardiac catheterization?

Who are candidates for a cardiac catheterization?

Diagnosis/treatment: Candidates for cardiac catheterization include 1) a patient in whom additional information is required to make a diagnosis, or 2) the diagnosis is known but detailed anatomical information is required to determine the appropriate type of therapy. ...Read more

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Should transesophageal echocardiography be performed in all patients before cardioversion?

It depends.: If the patient has been on a blood thinner for at least 4 weeks then most of the time, it is not necessary. However if the patient is not on a blood thinner, then tee is recommended to detect clot(s) in the heart. ...Read more

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In 65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest method for pericardial window?

In  65 y/o female with asthma and previous cardiac arrest W/ROSC during Pulm. Embolectomy W/ CPB. Which is safest  method for pericardial window?

Complicated question: You ask a VERY complicated question about a complex medical history. The 1st thing to ascertain: "why do you need a pericardial window?" Normally, they are for recurrent cardiac effusions; despite the dramatic surgery & event, effusions aren't typical after cardiac arrest. 2nd, need to know why pulm embolism developed. TTYD or use HealthTap Prime to find answers/specialists. Not enough space here. ...Read more

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Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.

Inadequate info: It would seem, by your question, that there was a specific cancer you were asking about. If not, then more specific information needs to be provided in order to answer. ...Read more

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

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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What patients should get an implantable cardioverter-defibrillator (icd) for heart failure?

What patients should get an implantable cardioverter-defibrillator (icd) for heart failure?

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 more

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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

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 more

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I need to undergo cardiac ablation to treat my atrial fibrillation, how do I select a doctor?

I need to undergo cardiac ablation to treat my atrial fibrillation, how do I select a doctor?

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

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What are treatments for cardiac ablation ?

What are treatments for cardiac ablation ?

Invasive treatment: When simple, medical measures fail and for certain heart rhythm disorders, there are invasive electrical mapping and treatments to eliminate abnormal heart rhythms which can next be considered. ...Read more

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What type of blood test will they do before having my cardiac ablation?

What type of blood test will they do before having my cardiac ablation?

Simple Stuff: Mostly, they're just looking for risks from the sedation and risks of bleeding. A complete blood count, basic metabolic panel and a coagulation test called an inr are usually about it. If you're a woman, of course, there will be the standard pregnancy test since xray is involved. ...Read more

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Healthy male, Recent Cardiac Ablation still have Palpitations after 2 months ?

Healthy male, Recent Cardiac Ablation still have Palpitations after 2 months ?

Palpitations : When palpitations (the sensation of a rapid or irregular heart beat) are associated with lightheadedness, fainting, shortness of breath or chest pain, they should be evaluated promptly. For a personal review of a complex case, consider an inbox consult on HealthTap. ...Read more

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Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for atril fibrilation?

Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for     atril fibrilation?

Maybe: If site has healed there should be no problem. If recent thrombin injection or recent surgical repair, access should be gained in other groin. ...Read more

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Post cardiac ablation weaned to 40mg x2 day but then a Dr said to go back to 80 x2 as I collapsed in AF No pass out. Since then tired and palpitati ?

Post cardiac ablation weaned to 40mg x2 day but then a Dr said to go back to 80 x2 as I collapsed in AF No pass out.  Since then tired  and palpitati
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Do you mean sotalol?: This sounds like a sotalol dose. Suggest an inperson consult here as we need to clarify the medication and I think with a history of AF and near passing out and recent ablation a cardiac rhythm disorder needs to be rapidly excluded. Please see urgent care or emergency doctor or GP ASAP. ...Read more

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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?

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 more

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What can I expect when going in for a cardiac ablation?

To feel better: On a more serious note, you will lay flat on a special table and be draped with a sterile sheet. Your groin will be injected with medicine to numb the skin. Your doctor will usually give you some mild sedation to make you comfortable. During the procedure you may feel palpitations and occasionally some chest or shoulder discomfort. When it's done you wil have to lay flat for a few hours. ...Read more

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What are the advantages and disadvantages of cardiac ablation?

Short List: Advantages: potential permanent fix no need for lifetime meds (often) feeling of "doing something about it" disadvantages: expensive if you pay in cash carries procedural risks requires time off work (but not much) may require repeat procedure very competent doctor often required to get best results and avoid inadvertent damage. Not all doctors ablate with equal skill (much the same as surgeons). ...Read more

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What is a cardiac ablation? Is it safe?

Yes, reasonably safe: Cardiac ablation is a procedure that cardiac electrophysiologist use to burn out some extra pathway where the heart's electrical current might initiate erratically. The physician needs to do cardiac mapping and find out where is the possible source of extra firing source of the electrical current. Md then burn them out with freezing burn. Under good hands it is relatively safe, 1% complication. ...Read more

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Is it normal to be nauseous the day after having a cardiac ablation?

Is it normal to be nauseous the day after having a cardiac ablation?

Nausea: The short answer is “yes”. However, the causes could be related to several things including medications administered to you during and after the procedure. You should contact the physician who perform the procedure. ...Read more

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Why would someone be unable to take a deep breaths after cardiac ablation?

Why would someone be unable to take a deep breaths after cardiac ablation?

May not be related: While possible, it's very rare that an ablation leaves a patient with any lasting symptoms afterwards. The microscopic area of heart tissue destroyed is generally far too small to be felt. In very rare cases, it's possible the procedure could initiate inflammation in the space lining the outside of the heart, which might cause pain on deep breathing or breathlessness. Again, this is very rare. ...Read more

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How long after a cardiac ablation can you have sex?

Ablation: Ask the ep doc, for ablation in a patient with good cardiac function, fairly rapidly is possible but if the rhythm is a bit unstable after the procedure the ep might prefer the patient wait a variable period before resuming to let lesions heal. ...Read more

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I had a cardiac ablation on 12/17. Can I have a glass of wine dinner?

Ablation: This kind of question should be asked of your electrophysiologist. After ablation there are several weeks when arrhythmias may occur while the heart muscle is healing. Your EP doc may not want you to have any alcohol during this time. On the other hand, the answer could be other ...Read more

Dr. Adam Lewis
5 doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more