Doctor insights on:
Post 3 catheter ablations,2nd interrupted due to pericardial effusion. 3rd nearly eliminated Afib, still vagal induced SVT, meals, or position. Ideas?
Yes: The more general term for the procedure is catheter ablation. In essence the abnormal tissue in the heart that is supporting or causing the arrhythmia can be destroyed by either burning it (radiofrequency ablation) or by freezing it (cryoablation). For many arrhythmias, this treatment is highly effective with cure rates approaching 100%. ...Read moreSee 3 more doctor answers
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 3 more doctor answers
PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?
Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more
What's the difference between catheter ablation and radiofrequency ablation for treating arrhythmias like svt?
General term: Catheter ablation is a general term referring to elimination of electrical conduction in very specific areas of the heart. Two primary technologies are used to perform catheter ablation. Radiofrequency energy is a rapidly alternating electrical current that generates heat at the point of catheter contact. Cryo ablation uses super cooled nitrogen to freeze at the point of of catheter contact. ...Read moreSee 2 more doctor answers
Have dysautonomia. Flecainide&nadolol for lots of arrhythmia. Bigeminy, tach etc. 2 failed ablations. Had ST under gen anesth. Would PM/ICD help?
Discuss it with doc: You've given me a lot of information but more is needed. Sometimes the cardiac electro physiologist ( sub specialty trained cardiologist) will consult with a subspecialty neurologist in difficult cases. Get more than one opinion if you feel uncomfortable with the situation. ...Read more
Unknown: If you are being treated for thyroid cancer, i would not suggest using marijuana, since it does have some effects of suppressing immunity. There is no evidence that it would interfere with the radio-iodine or make it work any less well, but i would abstain for several weeks to be on the safe side. If you are being treated for hyperthryoidism or grave's disease, i don't think it is a problem. ...Read more
Alcohol and SVT: Alcohol is known to damage the conduction system of the heart and cause all kinds of arrythmia. Svt is caused by an anomaly of that system. Alcohol surely unavoidably aggravates that anomaly, besides turning the heart muscle into a mass of jello that has no strength to pump blood properly (reduced ejection fraction). No alcohol abuse. Period ! ...Read moreSee 1 more doctor answer
Zolpidem: I like to use www.Drugs.Com & www.Epocrates.Com to search for drug information. Both are free although latter does require registration. It turns out that palpitations have been associated w/zolpidem so talk to your doc about your concerns. In fact, it's always a good idea to report side effects to your pharmacist & prescribing physician. And reconsider diazepam as it can be addicting. ...Read more
If ablation in afib had no successful long term & amiodarone failure in73hypertensive male with paroxysmal attacks then what to do for afib?
How ?????: Liver is a complex organ, most of the time protects itself by detoxifying chemicals rarely fails, . Remarkable progress has been made in control of infections, b.P. Stroke, cancer, vas dis meta.Diseases etc by use of medications, prolonging life and virtually every drug could be hepato toxic and unavoidable. Watchful fda withdrawn several ( duracet, ruzulin, pemolin etc ) may be more to go. ...Read moreSee 1 more doctor answer
Have had 2 rf ablasions for svt. Not "successful." possible vagal response to chronic reflux? Triggered by rf stretta for gerd?
Doubt it: Consider a different specialist for a second opinion on svt. ...Read more
Uterus ablation: A uterus (lining) 'ablation' means removal/destruction of the cells that line the uterus thus stopping or lightening your (heavy) periods. A common procedure is called: novasure , which is a one-time, 5-minute procedure. Success rates are up to 90%. See more info on novasure.Com. ...Read moreSee 1 more doctor answer
Yes.: Can have repeat ablations if needed.Get a more detailed answer ›
Tissue destruction: 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 tube in the groin. ...Read more
Need more info: The mediastinum is the area around your heart. Ablation means "destruction". The pros and cons depend on what is being destroyed (lymph nodes? Cancer?) and how (radiofrequency? Heat? Cold?) ask your doctor what the evidence is for the procedure, and what alternatives are possible. The mediastinum contains critical structures, so you don't want to risk any non-proven procedures. ...Read more
RFA: Rfa can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis. The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from rfa can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with rfa experience pain relief. ...Read more
For refractory VT: Vt is a reentrant rhythm occurringusually in the region of previous scar tissue in the left ventricle (previous infarct). The primary therapy for patients with cardiomyopathy is implantation of an icd. Patients who have recurrent therapy from thier icd and unresponsive to antiarrhythmic drugs then ablation is considered. There are VT ablations performed in patients with normal hearts as well. ...Read moreSee 2 more doctor answers
I am currently experiencing ocassional AF with increasing frequency. This follows successful Ablation approx 3.8yrs ago. Is 2nd ablation warranted?
Most likely: You responded well to your first ablation during which they likely electrically isolated your pulmonary veins. One or more of your veins probably reconnected and the most effective approach based on your age is a repeat ablation. Your MD should know that your atrial fibrillation has recurred so anticoagulation and stroke prophylaxis can be addressed as well ...Read moreSee 1 more doctor answer
Before I qualify for a second ablation procedure to re-treat AF, do I need to be in a state of constant or persistant AF? How is persistant defined?
Depends: It depends in part on how far out from your first procedure you are, whether or not you are taking anti arrhythmic medications and whether or not you are symptomatic. Persistent AF is simply AF lasting more than 7 days. It is not uncommon to have recurrent AF in the first few months after ablation and still be arrhythmia free in the long term but you will need to be followed closely. ...Read more
Hypothetically...: Let's make assumptions: you're 36, presumably healthy without other major med problems and you have already failed a trial of 1 or more drugs. You only have afib sometimes. Fine, here's the breakdown. Chance of cure on 1st procedure: 50%. Chance of cure after 2nd procedure: 70%. Recovery time: short. Risk of major complications, ~4% including 1:250-500 of stroke. Pick your ep doc well. ...Read moreSee 3 more doctor answers
Destruction of nerve: It is usually used for medial branch nerve, which supplies facet or articular joints in the back or neck. This nerve only brings back pain information from that joint and does nothing else. When it's destroyed, the pain goes away despite the abnormality remaining there - i.E arthritis. ...Read more
Usually 1-2 days: Most ablations require very little recovery & you should be back to normal after 1-2 days. You need to be at pelvic rest (nothing in the vagina) for 2-4 weeks, but otherwise downtime is minimal. If done under general anesthesia, 1-2 days is usually needed to recover from the anesthetic. Rarely pts may experience severe pain & need up to 2 weeks off to recover. Take the pain meds prescribed! ...Read more
Destruction by heat.: This is used by different specialists to destroy excess tissue growth such as in benign prostate hypertrophy done by urologists as an office procedure or to destroy tumors in internal organs that can be precisely hit by the catetherization of their blood supply in that case by interventional radiologists. ...Read more
It's a : Rhythmview system that assist electrophysiologist in the identification of the electrical source of cardiac arrhythmias. Its a different technology. Pulmonary vein isolation actually use. It's a research technology with possibly a bright future. 6 millions americans suffer from atrial fibrillation but only around 120, 000 ablations a year. Electro cardiologist are true artist when doing ablations. ...Read more