Top
30
Doctor insights on: Chest Pain After Cardiac Ablation

Share
1

1
Can you tell me about post cardiac ablation, chest pain, arm numb?

Can you tell me about post cardiac ablation, chest pain, arm numb?

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

Dr. Theodore Davantzis
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


3

3
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?

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

4

4
Right shoulder pain after cardiac ablation which was done in October. Why???

Right shoulder pain after cardiac ablation which was done in October. Why???

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

5

5
Cardiac ablation question. When do you need it?

Cardiac ablation question. When do you need it?

Recurrent arrhythmia: If one has recurrent fast heart beat or irregular heart beat (svt, afib etc) and symptomatic, cardiac ablation may be needed if medications could not control the rate and rhythm. ...Read more

6

6
What are some possible complications of a cardiac ablation?

What are some possible complications of a cardiac ablation?

Partial List: 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
bleeding
cardiac perforation
risk of pacemaker
stroke
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

7

7
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

8

8
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

9

9
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

11

11
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

12

12
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

14

14
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

15

15
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?

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

16

16
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

17

17
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

18

18
How many nurses must be present during a cardiac ablation?

How many nurses must be present during a cardiac ablation?

Usually one: There is usually one nurse and one or two technicians along with the doctor who is performing the procedure. ...Read more

19

19
Has anyone had success with the cardiac ablation procedure?

Has anyone had success with the cardiac ablation procedure?

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

21

21
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

22

22
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

23

23
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

24

24
Had cardiac ablation 3 weeks ago, today started having arrhythmia again should I be concerned?

Go to ER: You should go to the nearest er immediately, and be seen by your cardiologist. ...Read more

25

25
Can catheter/cardiac ablation ease pvc's?

Can catheter/cardiac ablation ease pvc's?

Ablation: If PVC's are very frequent and cause a lot of symptoms despite medical therapy, ablation might be an option to decrease symptoms or to suppress the PVC that is causing the problem. ...Read more

26

26
Can a Cardiac ablation cure accelerated junctional tachycardia, AVTR or AVNRT?

Can a Cardiac ablation cure accelerated junctional tachycardia, AVTR or AVNRT?

Yes: In the hands of a good electrophysiologists these arryhthmias ought to be cured by ablation ...Read more

27

27
Help docs? I'm having vaginal bruising after cardiac ablation?

Help docs? I'm having vaginal bruising after cardiac ablation?

Ablation: Are you taking blood thinning medications such as aspirin or Coumadin (warfarin)? Best to go to your doc. . ...Read more

28

28
How successful is cardiac ablation?

Ablation: Depends on the arrhythmia. For atrial fibrillation, about 80%, for atrial flutter, close to 95%, for ventricular tachycardia, 90+%. ...Read more

29

29
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

30

30
What dosage of Sotololwould you recommend after cardiac ablation. Taking 80mg twice day at present?

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

Dr. Ana Adelstein
5 Doctors shared insights

Cardiac (Definition)

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


Dr. Gutti Rao
3,184 Doctors shared insights

Chest Pain (Definition)

The chest resides between the neck & abdomen. Chest pain refers to ...Read more