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PFA procedure with stroke risks

Heart Rhythm Conditions | Last Active: Jun 27 10:32am | Replies (31)

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The risk of stroke due to AF has nothing to do with the technique used to ablate the affected area where the extra signal is entering the left atrium. The risk of stroke is mainly due to the poor circulation during AF in the LAA...the left atrial appendage. So, if the PFA or RF ablation, or even cryo-ablation, is being implemented, the LAA still retains its shape, and the blood still circulates poorly in it. Stale blood tends to clot, and that's why AF is so dangerous...clotting risk in the LAA. Stop AF = reduce risk of stroke due to AF by about 90%. PFA, but also any successful method of ablation, obviates the requirement to use a DOAC (direct-acting oral anti-coagulant) if all other risks/comorbidities are low. In fact, it is the patient's assigned CHA2DS2-VASc score (you can google that, and even calculate your own) that determines the total risk of stroke for all potential causes/risks.

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Replies to "The risk of stroke due to AF has nothing to do with the technique used to..."

Thank you for explaining so well. I checked my CHA2DS2-VASc score as you advised. My score is 3. I have been on Eliquis for 5 years and I have a pacer. Cardiologist presented 3 options: 1) Do nothing and live with AF using Eliquis and Sotalol, 2) change medication from Sotalol to Tikosyn as Sotalol is not working , 3) do PFA (which I am afraid of due to stroke risk even though you explained it so well). I am the only care giver for an 80 yr old). Am seeing cardiologist again next week re PFA as he himself says that 50% of his patients need a second PFA.