← Return to Anyone watched this Utube video by Dr Scott Lee on a fib?

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What I found enlightening is his explanation of why many with a fib have multiple ablations given that only the 4 corners or back wall are ablated rather than cells ablated on all ) walls of the L atrium. He also discusses the requirement of a highly skilled electrophysiologist and the necessity of considering “how big the fire” whether a fib is persistent or long standing or occasional stage with persistent and longer standing requiring a much more extensive ablation process. He says deeper cuts and advocates for radio frequency vs cry or pulse. Anyway, definitely worth a watch. Personally, I’m dealing with a cardiologist that won’t even put a referral in to the cardiac surgeons I have researched for opinions because he says I’ll end up with a pig valve and then will require a third surgery in 8-10 years. He is only offering me rate control with drugs or rhythm control with ablation and is anti surgery. Offered me another cardioversion when the first, on March 30 only lasted : days. What’s the point of another? Looks like cardioversion is only a temporary reset. Told me a fib cannot be cured….. cannot be fixed. I’d rather be out of it for 5-10 years than end up with pulmonary hypertension or a fib more locked in due to the passage of time and also a more enlarged L atrium meaning the a fib is almost impossible to fix. But im dealing with valvular stenosis and a fib together….making the situation more challenging. The cox maze 4, gold standard fix for a fib, could be done while the valve is fixed. Attempting to get a new cardiologist but this is Canada and Nova Scotia…. Not exactly progressive.

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Replies to "What I found enlightening is his explanation of why many with a fib have multiple ablations..."

@activegal
Hello, I'd like to comment to @activegal regarding replacing a mitral valve with a pig valve. I had mine replaced in 2010, after contacting bacterial endocardidtis following oral surgery, done some years before. After the open heart surgery, the surgeon commented he had to use many stitches, and didn't have time to close of the appendage, and I'd need a blood thinner, and also to watch for a-fib, which I do have at times. Looking at my recent echo, the 16 year old pig valve is still intact after 16 years. My electrotopysiogist doc says that mostly calve valves are used....these days. I'm now 85 and hanging in there.