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Doctor insights on: Pvc Ablation Procedure

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Dr. Ana Adelstein
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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Can you have an ablation for multi focal and multiform pvcs?

Can you have an ablation for multi focal and multiform pvcs?

PVC ablation: Hi, Yes if the PVCs are frequent and causing symptoms and decrease the quality of the life after a comprehensive evaluation including ECG, holter monitoring, TTE and possible Cardiac MRI, ablation could be considered as it's very safe and outcome is great, they map the heart to find the foci of the PVCs and then they ablate them, consult an EP doctor. ...Read more

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Why can you have an ablation for multiform and multi focal pvcs?

Why can you have an ablation for multiform and multi focal pvcs?

Ablation: Hi, i think I answer your question last night, PVCs could cause dizziness, syncope and decrease quality of life and also decrease heart functionality, if the patient doesn't respond to medical management or the patient cannot tolerate medication then Ablation is offered which is very safe and treat the focus in heart that creates the PVCs and therefore improves the symptoms, quality of life and ...Read more

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Should i consider an ablation procedurefor pvc's that at times are very annoying ?

Should i consider an ablation procedurefor pvc's that at times are very annoying ?

How many do you have: I would start by seeing how many pvcs you have on a 24 hour montor. If you have more than 20, 000 or 30, 000 an ablation may be worth considering. ...Read more

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How likely is it that a pvc ablation will be successful when you are having about 3,000 PVCS a day? Is that level of PVCS dangerous?

How likely is it that a pvc ablation will be successful when you are having about 3,000 PVCS a day? Is that level of PVCS dangerous?

3000 PVC's per day: equates to a frequency of about 4% PVC's. This has the potential for development of a Cardiomyopathy. With mapping and experience an EP MD should easily be able to target the source and ablate the PVCs without complication. Drug therapy could also be useful but associated with side effects. Discuss the pro's and cons with your Cardiologist and ask for referral to an EP for a learned opinion. ...Read more

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Looking to get an ablation done for my PVCs. However I am concerned that my RHR could be a problem for anesthesia. My average RHR is 48 to 60. Issue?

Looking to get an ablation done for my PVCs. However I am concerned that my RHR could be a problem for anesthesia. My average RHR is 48 to 60. Issue?

Not a problem: The anesthesia required is a sedative one and even if general was required a HR in that range would not be a concern. If you are very active ( ie run etc) let the anesthesiologist know that. We have athletes all the time with RHR of 40. Also if needed we have medications to increase the rate should it be needed. Best of luck ...Read more

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I have multifocal pvcs. Can my ep fone am ablation?

I have multifocal pvcs. Can my ep fone am ablation?

Doubtful: Pvcs can be normal, or marker for more serious disorder. Since they are multifocal, very unlikely to be able to find a location to ablate. If the heart is structurally normal, no coronary disease, electrolytes normal, and no drug influence, they may be ok as is. ...Read more

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Just felt a string of strong heartbeats that were a little faster than normal- like beat beat BEATBEATBEATBEAT beat beat- could it be nsvt? I had PVCs and needed an ablation for them but this was different - no sensation of a skipped beat.

Possibly, but...: Given your history of irregular heart rhythm requiring ablation, I would advise follow up with your heart specialist or PCP should this continue.Especially if it becomes longer or more frequent or you experience lightheadedness or chest pain. Irregular beats are not uncommon, and can be precipitated by stress, alcohol, caffeine, infection, etc. Simply coughing can sometimes break them. Needs eval. ...Read more

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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

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I have been having PVCs. And Flutter for the past 2 months. Seeing a cardiologist. Recommendations on pros and cons for flecainide vs ablation.

I have been having PVCs. And Flutter for the past 2 months. Seeing a cardiologist. Recommendations on pros and cons for flecainide vs ablation.

I say ablate: Every single one of my patients on flecainide has had problems with drug- drug interactions or problematic side effects. Ablation is usually low risk , quick, easy and permanent. I say ablate that puppy ...Read more

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I read that multifocal pvcs are usually in a diseased heart. But my dr is not worries about mine. Should i be concerned? Can ablation be performed?

I read that multifocal pvcs are usually in a diseased heart. But my dr is not worries about mine. Should i be concerned? Can ablation be performed?

Doubtful: Pvcs can be normal, or marker for more serious disorder. Since they are multifocal, very unlikely to be able to find a location to ablate. If the heart is structurally normal, no coronary disease, electrolytes normal, and no drug influence, they may be ok as is. ...Read more

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Had cardiac ablation '06 for PVC s. Still have 1k+ a day. Wnt to start running but recovery is the worst. What ele can I do to exercise my heart?

Bike?: Bicycle exercise allows a much more controlled maintenance of any given target heart rate and may help you keep your PVC burden in line during exercise. If not, let's get you a second opinion with an electrophysiologist who's very likely to knock those pvcs out for good. ...Read more

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40yr. Old male 3 months out from hybrid maze ablation surgery for afib with pvc's 13% of the time , is it safe to lift heavy & resume road bicycling ?

40yr. Old male 3 months out from hybrid maze ablation surgery for afib with pvc's 13% of the time , is it safe to lift heavy & resume road  bicycling ?

Should be fine: Since you went through a significant procedure, you should ask your cardiologist. The pvcs likely do dot represent a big risk. Perhaps they will get better. If not, they can be left alone, treated with mess or ablated. In the end you went through this so you could have a normal life. I'd say you should do what you can to get back to it. ...Read more

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Holter shows 17, 000 pvcs. Ep says do nothing, meds, or ablation. Father of 2, now scared about future heart failure/surgery. Should i be worried?

Holter shows 17, 000 pvcs. Ep says do nothing, meds, or ablation. Father of 2, now scared about future heart failure/surgery. Should i be worried?

VPCs: Vpcs have many possible causes and meanings. Many times they do not need to be treated even if very frequent. The ep physicians are specialists in rhythm and should be well qualified to judge whether treatment is indicated. You should discuss with the ep and ask for explanation and if needed reassurance as the ep has the most information about you. ...Read more