Doctor insights on:
What To Expect After Catheter Ablation
See below: Ablation from latin means destruction. Most commonly this is applied to cardiac procedures with the goal of preventing recurrent cardiac arrythmias such as atrial fibrillation of flutter. A catheter in introduced via the venous circulation and electrophysiologic studies are performed to precise the site of the focus of electrical disturbance which is then ablated by a strong electrical current. ...Read more
Ablation from latin means destruction. Most commonly this is applied to cardiac procedures with the goal of preventing recurrent cardiac arrythmias such as atrial fibrillation of flutter. A catheter in introduced via the venous circulation and electrophysiologic studies are performed to precise the site of the focus of electrical disturbance which is then ablated by ...Read more
Depends: The success rates of ablation procedures depend mostly on the rhythm that is being ablated. For some arrhythmias such as SVT or atrial flutter, long term success rates upwards of 95% are very common. Ablation for atrial fibrillation typically results in 1-2 year AF free rates around 70+%. Sometimes a combination of medication and ablation can improve freedom from arrhythmia. ...Read more
It Varies: In general it is very low risk. There are different types of ablations with varying degrees of risk. Atrial fibrillation ablation tends to carry some of the highest risk of any catheter ablation. Af ablations have a risk of death of 0.15%, tamponade 1.3%, pseudoaneursym 0.9%, stroke 0.2%, TIA 0.7%, pv stenosis 0.3, and ae-fistula 0.04%. There is a small risk of pacemaker in some types as well. ...Read more
Could ya before?: When discharged, unless your instructions say to avoid stairs, then slow steady pace should not interfere with the access site or its clot/scab. Ideally it will have been at least 3 days, if you are on / back on a blood thinner, may want to give it a week to let the repair process get well underway. Any specific q's should be directed to your electrophysiologist. ...Read more
Very effectively.: The supraventricular tachycardia is a short-circuit of the normal heart conduction pathways. Usually there is a small area that, if removed, would Prohibit the circuit from conducting and therefore block the svt. The catheter tip generates rf energy to scar the heart tissue in a small area, which prevents it from conducting electricity. ...Read more
Do you mean catheter removal? If so, why did you have catheter in the urethra? If the reason for indwelling catheter is for significant surgery on the urethra and prostate, it is a good idea to refrain from sexual act until the surgical site inside the urethra heals.
For detailed general and specific counseling for your concern, please go to see, talk, and work with your urologist.
Best wish... ...Read more
It Varies: In general it is very low risk. There are different types of ablations with varying degrees of risk. Atrial fibrillation ablation tends to carry some of the highest risk of any catheter ablation. Af ablations have a risk of death of 0.15%. Other ablations, like for svt, would be lower risk. ...Read more
Electrophysiologist: what would indicate the need for a substrate catheter ablation for some one who is only a paroxysmal afibber? Thanks
Depends: It all depends on what is driving and or triggering your atrial fibrillation. The standard approach for someone with paroxysmal afib is a pulmonary vein isolation. However, if these patients are put into atrial fibrillation and then ablated with complex fractionated electro gram (CFAE) ablations - sometimes the triggers and substrate for afib are not localized to the region of the pulmonary veins. ...Read more
I have recently had a catheter ablation for AVNRT - 2 weeks ago. For the last 2 days I have been having 20, 000 plus pvcs. Should I be concerned?
The two situations: Are probably unrelated but if you continue to have PVCs you should contact your EP for reevaluation. ...Read more
Depends: This is usually not an issue of healing but of getting the right destruction of the right area of the heart. Healing will most likely be completed in a matter of a week but it is not a healing issue. Discuss with your cardiologist/electophysiologist and have a complete understanding prior to the procedure unless done emergently. Monitoring may be in order for a while after the procedure. ...Read more
Hi, I just had a catheter ablation procedure 2 days ago and have discovered a small lump near the insertion site in my groin. Any suggestions?
This is common:
And represents a small "hematoma" (blood collection) at the site of the puncture...USE SOME Heat to promote re-absorption of the blood. If is doesn't get smaller or resolve completely in a week -10 days get it checked out by your PCP (Primary Care Provider)
Hope this is helpful
Dr Z ...Read more
I had a catheter ablation for WPW on 8/13/13. Yesterday when jogging, the upper left part of my chest was aching. Is this normal after ablation?
I had catheter ablation for atrial flutter at BW. How long before I resume normal exercise. I was a rower & am used to strenuous workouts. I am 62.
When can I lift heavy items (50 lbs) after catheter ablation via the femoral artery? When can I lift slightly heavy items (ex. Weight of desktop pc)?
Yes: For the first 1-2 weeks following a catheter ablation, palpitations or a sense that the heart is beating irregularly, is common and are likely secondary to irritation of the heart from the ablation procedure. These symptoms are typically very brief. Symptoms of longer duration may represent recurrence of the arrhythmia for which the ablation was undertaken. ...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 more
How long should I feel fatigued after heart ablation. Had second catheter ablation 3months ago. I am a 53 year old male 6'1 180 pounds.?
What Type?: What type of ablation was this? Generally speaking, fatigue is not a side effect of ablation procedures. Some patients expect to feel big (but unrealistic) increases in energy after the procedure and feel comparatively fatigued when they fail to feel more "awake." meds started after the procedure may also lead to fatigue. ...Read more
I had a catheter ablation performed two days ago, and the bruise around the groin insertion site has grown to over 5 inches in diameter.
I'm taking bisoprolol to control SVT (hrt rate will be 120-180bpm without b blocker) is my HRT rate high enough to be considered for catheter ablation?
Yes: You are rather young to be committed to lifelong drug therapy, albeit beta blocker. If your cardiologist can diagnose your SVT more specifically and if it is one amenable to ablation to achieve cure (i.e. free of disease and free of meds thereafter), I would seriously consider it. Get a good, highly qualified electrophysiologist with a lot of experience to render an opinion and consider ablation. ...Read more
I had catheter ablation for SVT and atrial flutter yesterday. Should I feel a different heartbeat if I'm cured?
Can supraventricular tachycardia go away by itself over time? I'm just not keen on catheter ablation and I don't want to be on bisoprolol forever!
SVT: Typically, SVT will not go away on its own. Think of it like a stray wire that short-circuits the electricity. Until the stray wire is cut or removed, the short-circuits will continue. Stranger things have happened in medicine, but the general consensus is going to be no, it won't go away on its own. ...Read more
How to determine my max heart rate during exercise? I am a 52yr old male ex af patient 2.5yrs ago, following successful catheter ablation procedure.
How long should I wait after catheter ablation for svt to smoke weed again or should I just quit? I smoked one hit and felt symptoms of a mini stroke
Quit: Sudden loss of consciousness, altered mental status, or sudden onset lack of coordination are signs of a stroke. The term "mini stroke" is often used to describe such symptoms when they are transient. However, these episodes are still red flags that a major stroke will follow. If using marijuana contributes to irregular heart rhythm and stroke, then it is reasonable to quit. ...Read more
I had catheter ablation on Wednesday. Taking 7mg warfarin 20mg bisoprolol per day. Sunday & today I have had severe migraines and nausea. Is this norm?
No: When people have an arrhythmia and are on blood thinners like you are, several dangerous causes of headaches need to be checked for before calling something a "migraine." If you don't have a history of migraines or if this is unlike your typical migraines, you need to be examined by a doctor ASAP. ...Read more
Yes: Catheter ablations for cardiac arrhythmias are now well-established procedures. The specifics in terms of likelihood for success and/or complications depends on the exact nature of the dysrhythmia. You should see a heart rhythm specialist called an electro physiologist for more information. ...Read more
I had catheter ablation for SVT on 6-6-2015, after one week I've been facing missings in my heart beat daily and feeling very uncomfortable. Solution?
A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more