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Replies to "@gloaming Thank you for your reply. I do think that my cardiologist favors Multaq. My husband..."
Heart Rhythm Conditions | Last Active: Mar 26 10:15am | Replies (17)
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@gloaming
Thank you for your reply. I do think that my cardiologist favors Multaq. My husband and I think he owns stock in the company LOL. I've been to 2 electrophysists. Cardiologist is now talking about another AV node ablation and a pacemaker. Don't understand how a pacemaker would help since my heart rate goes up when in afib. I also have mitral and aortic valve issues and wonder if these are the causes of my afib.
Replies to "@gloaming Thank you for your reply. I do think that my cardiologist favors Multaq. My husband..."
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@nanalu If an EP nukes your AV node, there is no further conduction down the Bundle of His and on to the two bundle branches. This means no more ventricular activity, and that is what the pacemaker would manage from then on. This is likely the best way forward if your AF is with RVR, rapid ventricular response. You don't want your ventricles trying to keep up with your left atrium at 120-170 BPM, not for more than an hour at a time. If you have long-standing persistent or permanent AF (a cardiologist would have to formally diagnose it), then your ventricles are spending to much time at an unsustainable rate....so they nuke the AV node and put your heart's two ventricles on pace. Note that in some cases a pacemaker cannot control atrial fibrillation and you may have to remain fibrillating. I believe there are newer pacemakers that can control AF, but it's out of my wheelhouse.
And yes, mitral valve stretching/prolapse can encourage AF....this is well established. Sorry. :-/