Doctor insights on:
Cardiac Ablation Select Hospital
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 moreSee 3 more doctor answers
Just who does heart attack surgery? A cardiovascular doctor? Interventional cardiologist? Thoracic & Cardiac surgeon? Differences?
Interventional: CardiologistGet a more detailed answer ›
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
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 moreSee 1 more doctor answer
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
Oncology: Who are the best candidates to receive 24 hour IV chemotherapy in a hospital setting vs. 6 hour out patient? Thank-you.
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
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 ›
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
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for atril fibrilation?
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Ablation: usually not more then few daysGet a more detailed answer ›
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 moreSee 2 more doctor answers
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
- Talk to a doctor live online for free
- Problems after cardiac ablation
- Cardiac ablation recovery symptoms
- Pregnancy after cardiac ablation
- Ask a doctor a question free online
- Post cardiac ablation symptoms
- Anesthesia for cardiac ablation
- Cardiac ablation pvc
- Cardiac electrophysiology and catheter ablation
- Talk to a cardiologist online