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Ablation while asymptomatic

Heart Rhythm Conditions | Last Active: 1 day ago | Replies (5)

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Profile picture for alymat @alymat

I have intermittent AFIB every 3 months or so, always minimally symptomatic with pulse never going over 95 and lasting just 4-7 hours. I will not look for an ablation with my present symptoms. Having reviewed multiple experiences post ablation, I will do my best to not have one done. The infrequent complications can be problematic, often beyond the issues one has with AFIB alone. The only concern is the necessity of continuing Eliquis or other med to avoid stroke.

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Replies to "I have intermittent AFIB every 3 months or so, always minimally symptomatic with pulse never going..."

@alymat The risk for perforation or thermal damage to the phrenic nerve or the esophagus during radio frequency ablation is about 1.5%., or about 15 in 1000. You risk of becoming 'immune' to anti-arrhythmic drugs is about 25%. If you elect to live with the arrhythmia, your chances of developing mitral valve prolapse, hypertension, hypertrophy of the two left vessels, and ultimately heart failure is quite high, probably north of 3.5%.
https://www.ahajournals.org/doi/full/10.1161/CIRCEP.119.007809
Ablation has been declared as the 'gold standard of care' for AF patients as of about this time last year.