Top
30
Doctor insights on: Sinus Node Ablation

Share
1

1
Sometimes light-headed and extremely fatigue 6 days after cardiac ablation, what can cause this? Nicked av node but no PM needed, normal sinus rhythm.

Sometimes light-headed and extremely fatigue 6 days after cardiac ablation, what can cause this? Nicked av node but no PM needed, normal sinus rhythm.

Probably normal, but: Your system is accomodating the changes in your cardiovascular system induced by the ablation. Unless the light-headedness and fatigue are severe, I would give it a few days. You could let your Physician know what's happing; but If not improving, follow up with your PCP and/or cardiologist. ...Read more

Dr. Krishna Kumar
3 doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


3

3
How risky are ablations of the sinus node?

How risky are ablations of the sinus node?

Depends.: All procedures have risks, some risks are more likely to happen with some procedures, and less with others. Sinus node ablation is safer than open-heart surgery, for example, but is not risk free. Your doctor is required to explain what the risks are for the patient, and this depends on the condition of the patient at the time of the procedure as well. Ask the doc questions until you understand ...Read more

4

4
Hi I have inappropriate sinus tachycardia and how do doctors know if it's the sinus node or nervous system? Is that why some ablations don't work?

Hi I have inappropriate sinus tachycardia and how do doctors know if it's the sinus node or nervous system? Is that why some ablations don't work?

Combination: Inappropriate sinus tachycardia (ist) is a difficult entity to treat with ablation. You want to be able to reduce the heart rate enough without leaving the person requiring a pacemaker. A newer medication ivabradine may be used off-label for ist. Good luck. ...Read more

5

5
Will a AV node ablation for sure 100 present fix my heart from going to fast & slow.?

Will a AV node ablation for sure 100 present fix my heart from going to fast & slow.?

Not 100%: Nothing is 100%. The electrocardiologist will do their best to locate the exact location, but there is a chance they can't get it all and it will recur. While it works most of the time I frequently see patients that have had it done and it doesn't completely work. ...Read more

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
6

6
So if I have the AV node ablation why would I be dependent on my pacemaker for the rest of my life? I don't understand why that happens.

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
So if I have the AV node ablation why would I be dependent on my pacemaker for the rest of my life? I don't understand why that happens.

Permanent block: Ablation of the AV node results in complete block of all electrical impulses coming from above in the atrium that is permanent. Since there is no impulse to stimulate the lower ventricle from above a spontaneous beat is generated in this chamber but at a much slower rate often in the 30s. Thus, the need for a permanent pacemaker since ablation is irreversible ...Read more

9

9
What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

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 more

10

10
With a pacemaker implant and an AV Node ablation, why would you want to pace the atria but not the ventricles?

With a pacemaker implant and an AV Node ablation, why would you want to pace the atria but not the ventricles?

Pacing: AV node ablation requires ventricular pacing or atrioventricular pacing, atrial only is not appropriate in AV block. ...Read more

11

11
My heart rate goes real high and real low. Would a AV node ablation help me. I know that it would leave me dependent on my pacemaker.?

My heart rate goes real high and real low. Would a AV node ablation help me. I know that it would leave me dependent on my pacemaker.?

This depends on: What is driving your heart rate to be fast. If you already have a pacemaker, you should have a cardiologist and likely an electrophysiologist. You should review a question like this with your heart doctor as he/she will know your history much better and be able to provide a more educated answer. ...Read more

12

12
Me and my doctors have been talking about doing a AV node ablation. How do I talk with my doctors about doing it from my out look on it.

Advise your: Physician that you desire to be actively involved in your health. Explain your concerns, thoughts and ask questions. ...Read more

13

13
Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Electricity : The heart is a house with 2 chambers upstairs (atria) and 2 chambers downstairs (ventrical). The electricity to the downstairs chambers comes from the upstairs chamber. The connecting point between the tow floors is called AV node. If you cut this AV node, the lower chambers will not have electricity to work, so u need to provide the lower chamb with anther source of electricity, that is pacemaker ...Read more

14

14
How successful is cardiac ablation?

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

15

15
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

16

16
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

17

17
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

18

18
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

19

19
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

20

20
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

21

21
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

22

22
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

24

24
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

25

25
Why would someone be unable to take a deep breath after cardiac ablation?

Why would someone be unable to take a deep breath 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

26

26
What are treatments for cardiac ablation?

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

28

28
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

29

29
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

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