Any Ablation Success Stories?

Posted by jimhealthy @jimhealthy, Aug 19 4:28pm

Hi ... I'm new to this forum and see a lot of postings about ablation failures. Does anyone have a success story about their ablation? I've had two cardioversions due to AFIB and am being encouraged to get an ablation by my heart doc. I am currently on amiodarone until my ablation, at which time I'll be switched to dofetilide for the rest of my life. I hate these drugs because they won't allow me to play tennis (dues to breathlessness and fatigue). Tennis is my passion and joy, and it is a great loss to be without it.

I'm wondering if anyone on this platform has had a successful ablation that has allowed you to exercise intensively without being on an antiarrhythmic drug? I would love to hear about your experience.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

Profile picture for gloaming @gloaming

Please ask your electrophysiologist or cardiologist if you should taper off amiodarone well before your Holter monitor assessment near the 12 week mark. I'm not an expert in this, but I do know that amiodarone has a long residual effect for several weeks after one stops taking it, and my expectation is that it might confound the record of the Holter monitor (saying you are free from AF when you are not, but the residual amiodarone is helping to keep it at bay...if you follow me). I could be dead wrong about this, in which case I'd love to hear back from you to correct my impression, but it's worth an ask.

Jump to this post

Excellent advice!

REPLY
Profile picture for mereneg @mereneg

Hello, from Hamilton.

Glad to hear of your successful outcome. Did you go directly to ablation, or were you cardioverted earlier?

My 1st CV (done without amiodarone, after almost 6 mths of persistent AF on metoprolol) lasted from 24-12 to 25-07. I'll be starting amiodarone soon, for a 2nd CV in Oct.

Not sure how/when ablation may factor in, but I'm a bit apprehensive (probably unnecessarily) of the prospect.

Cheers,
RG

Jump to this post

Hello Hamilton ....
I had AFib for about 2 years. However, it was controlled very well by meds. Because I wasn't suffering badly, I had to wait 8 months to have my ablation at Sunnybrook. I never was cardioverted. Three months in everything seems to be going well. Only time will tell.

REPLY

I’m 72 years old and over the last five years I have had three ablations. All from same Electrocardioligist. I believe that I caused the first two by overexerting in a very hot climate. The second one actually worked as my rhythm became regular but it left me with an elevated heart rate. I’m normally in mid 60’s bpm and it went up to mid 90’s. The third was a “tune up “ about a year and a half ago, it fixed the rapid rate and I’ve been feeling great since. The procedures were not bad, in and out the same day. Takes about two weeks to get back to exercising at my current levels which are pretty vigorous.

REPLY

Yes! Going on almost three years.. an easy procedure with one nite in hospital. Success rate around 85%. Off of blood thinners. Had to be on for three months after procedure. If doc suggests ablation, don’t hesitate! Good luck

REPLY

I too also had a successful ablation now more than three years ago. For a more comprehensive treatment of the choice you face, I would recommend the book "The AFIB Cure..." by two prominent electro-cardiologists. The book explains how it isn't the procedure itself that determines success, but also the lifestyle choices the patient makes post-op that determine its success as a "cure" TA

REPLY
Profile picture for hurricane188 @hurricane188

I was diagnosed with Afib 3 years ago. I had a pulsed field ablation on February 3, 2025. 2 hours after surgery, I had a moderate pericardial effusion resulting in icu stay which is rare so don’t let that stop you. I am still on same medication, generic Pradaxa and 75 mg flecainide. Surgery was considered a success per EP. A total of 46 PFA lesions were delivered. My doctor is well respected in Tampa Bay Area but extremely busy and my appoints keep getting rescheduled. Talked to my cardiologist about decreasing/discontinuing medications. So now scheduled for a loop recorder placement for monitoring (on 10/27/25). Finally scheduled to see EP on 10/13. Needless to say, I am frustrated with all this waiting. I am walking 45 minutes 3-4 times a week along with yoga. Feeling great with ( maybe 4) occasional 30 sec episodes of high heart rate but no afib per Apple Watch or Kardia mobile. These episodes seem to come out of nowhere and happen without triggers.

Jump to this post

Hurricane188,
Thanks. I live in the Tampa area and am looking for an EP for ablation with possible PFA or whichever is best. Been researching EP's but none advertise which ablations they offer. I'm 66 yo. Had a triple CABG, atrial and mitral valve replacement ( biological valves), and a atrial appendage ligation in Feb. 20.
Surgery was 8 hrs and 45 min I'm told. Paroxysmal and afib flutter ever since.
Could you please tell me what EP or at least what medical group or hospital your EP is associated with ?
Also, why you chose PFA. I appreciate any input you may have.
Thanks

REPLY

My ablation has been successful for 19 months. I had 4 cardioversions in 9 months and was encouraged to have an ablation. I was told some patients may need a “ tune up”. So far so good with me. A month after my ablation I needed to have a pacemaker implanted. This further improved my quality of life. I believe the EP you choose and where the procedure is performed will affect the quality of your outcome. I had mine done at the Cleveland Clinic. Top notch facility and providers.

REPLY
Profile picture for Edward (Ted) Almon @tedalmon

I too also had a successful ablation now more than three years ago. For a more comprehensive treatment of the choice you face, I would recommend the book "The AFIB Cure..." by two prominent electro-cardiologists. The book explains how it isn't the procedure itself that determines success, but also the lifestyle choices the patient makes post-op that determine its success as a "cure" TA

Jump to this post

Yes Edward. Just received the "A-Fib Cure book yesterday! Lifestyle choices are imperative. I like the list of questions they suggest for asking an EP during pre-ablation consultation. Having a-fib (paroxysmal) and a-fib flutter since my triple CABG and 2 valves replacement in Feb. I've been looking into ablation in my Tampa, Fl. area.
I have the 2025 updated edition of the book. As covered in the book, drugs as the first line of a-fib treatment in and antiquated as antirhythmic drugs have serious side effects and only have a 55% success rate for controlling afib the first year. Although, some insurances what you to "suffer" drugs before ablation! Doesn't make sense but saves them $$$.

REPLY
Profile picture for richey @richey

Hurricane188,
Thanks. I live in the Tampa area and am looking for an EP for ablation with possible PFA or whichever is best. Been researching EP's but none advertise which ablations they offer. I'm 66 yo. Had a triple CABG, atrial and mitral valve replacement ( biological valves), and a atrial appendage ligation in Feb. 20.
Surgery was 8 hrs and 45 min I'm told. Paroxysmal and afib flutter ever since.
Could you please tell me what EP or at least what medical group or hospital your EP is associated with ?
Also, why you chose PFA. I appreciate any input you may have.
Thanks

Jump to this post

I chose the Mayo Clinic in Rochester, MN. Dr. David Bradley, EP. Excellent team. State of the art equipment. I had to wait 3 months for an appointment, but for me it was worth the wait. They do PFA up there. That is what I wanted. I had read where the procedure is better at protecting the surrounding organs from damage: ie Esophagus, etc… I had my PFA two weeks ago. No problems. Very smooth. Good luck

REPLY

I have Agib and will be having a CT scan to map the heart prior to the ablation. Has anyone had an MRI of the heart for mapping purposes rather than a CT? Can you avoid using the dye?

REPLY
Please sign in or register to post a reply.