Doctor insights on:
Chest Pain After Cardiac Ablation
Normal post ablation: Often, you may experience some mild chest discomfort after ablation. Ablation involves destruction of heart tissue, most often using radiofrequency energy converted to heat. The arm soreness may be due to the position in which you had to remain on the procedure table during the electrophysiology study & ablation. These symptoms often resolve over a few days after the procedure. ...Read more
Right after cardiac ablation I talked 1h on my cell. Now I feel shortness of breathe, suffocating, my chest feel like it is shrinking. Wil I get better?
Suffocating?: Based on the symptoms you described, you should be evaluated by a doctor right away. ...Read more
Intense pain attacks around left lung area, its been 6 years now & they still happen twice a day, I've had 4 pneumothorax & a cardiac ablation in past?
Symptom timing?: Catheter ablations in the heart can rarely cause complications in nearby organs. Pneumothorax would be a very unusual complication after ablation and I wonder if you have had a pneumothorax before the ablation? Some people are susceptible to pneumothorax but it sounds like you should see a lung specialist to figure out if there is something going on that requires treatment. ...Read more
Coinc? Hard to answr: We're limited in this forum to 400 characters, so you're probably not going to get a satisfactory answer; use HealthTap Prime. Alternatively, you can ask the doctor who performed the ablation or your primary. Shoulder pain has many causes. If the catheter caused a perforation or if the axillary nerve was damaged, that could cause it. Arthritis & gallstones can cause shoulder pain & be coincidental ...Read more
It depends on the procedure. There are many ablations and the risks are determined by what structures we're near in the procedure.
Pain at catheter insertion site
risk of pacemaker
damage to coronary arteries
damage to heart valves
good news: the risk of major complications is usually < 4%, *often* <1% w/ an excellent md and the risk of dying is usu < 1:1000. ...Read more
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
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
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
Vt: Yes but it might be a long procedure. .. ...Read more
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
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 more
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?
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
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
Usually one: There is usually one nurse and one or two technicians along with the doctor who is performing the procedure. ...Read more
Lots: Cardiac ablations are highly successful procedures to help manage and sometimes cure cardiac dysrhythmias. The key is to find a really good ep doc. ...Read more
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 more
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
Go to ER: You should go to the nearest er immediately, and be seen by your cardiologist. ...Read more
Ablation: Are you taking blood thinning medications such as aspirin or Coumadin (warfarin)? Best to go to your doc. . ...Read more
potential permanent fix
no need for lifetime meds (often)
feeling of "doing something about it"
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
What dosage of Sotololwould you recommend after cardiac ablation. Taking 80mg twice day at present?
Post op ablation:
That is a good question!!
1) your cardiologist should have told you whether you should or should not be on sotalol post op.
2) The ablation should be the final solution (I assume you had PAF or SVT issues), so in theory, you should not need to be on sotalol.
3) 80mg twice a day is quite a big dose for your age as can cause dizziness (hypotension) and significant bradycardia (slow Heart rate) ...Read more
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