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Antiarrhythmic medications

Heart Rhythm Conditions | Last Active: Aug 14 10:52pm | Replies (22)

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It is quite common for people treated (successfully) for AF by catheter ablation to develop flutter. I know, it seems disappointing and bizarre, but the electrophysiologists know this and can usually correct it with a second ablation, but a different kind or process and area. The results are usually pretty good.
Atrial enlargement can be a RESULT of atrial fibrillation and it can also CAUSE atrial fibrillation. They go hand-in-hand quite often. It is true that advanced AF, or its subsequent effects, can make a successful ablation more difficult, but the skill and experience of the EP are what matters most in these cases. Some EPs simply don't have the experience or the confidence to perform the more advanced and more difficult ablations. The very best won't have too much problem. You'll have to do some research to find EPs nationally who specialize in difficult cases ('difficult' having a range of implications because it's a relative descriptor, not a precise one). If you have resources and don't mind some traveling and commercial accommodations for up to a week, I can recommend two EPs with national and international recognition who are in the USA, and two who are in France, one of whom trained one of the two in the USA.

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Replies to "It is quite common for people treated (successfully) for AF by catheter ablation to develop flutter...."

Who are the two doctors you recommend that are in the US?
Thanks

Who are your recommended EP's both US and abroad?

Thanks for the info and the offer.
For the time being, I'll manage with the resources available here in the Hamilton/Toronto, Ontario area.
With luck, my soon-to-be-scheduled 2nd cardioversion will be effective for an extended period. It will be done with amiodarone (which couldn't be used the 1st time, due to an interaction with a drug I'm about to finish taking) on board.
Cheers.