← Return to What to do when in SVT (supraventricular tachycardia)?

Discussion
Comment receiving replies
@yoanne

hello martin, as I wrote before in some posts, I showed a unexpectent development after the implantation of the 2-chamber pacemaker. shortly after the implantation I was told, that I had A-Fib's, which is not unusual. I should not worry, as long as I do not feel the A-Fib's.In the following months the number of the A-Fib's went up (recorded by the pacemaker). I should again not worry.
but one year later my clinical condition deteriorated quite fast. echo-cardiog. showed a left and right heart failure, only digitoxin saved my life. but still I have 94% A-Fib's. my cardiologist thinks, that the A-Fib's from the atrium went over to the ventricles and causes the ventricular arrhythmia. I feel good now thanks to the digitoxin, but who can assure me, that this won't happen again? (I have still 94% A-Fib's).
I proposed the cardiologist an ablation , but this would be new. on the other hand I know that an ablation is done in patients with an implanted defibulator, where the Defi has to "chock" too often , a very unpleasant experience for the patients. Only a few hospitals are able to do this kind of ablation (in the ventricles). My cardiologist does not like the idea of an ablation in a patient with a pacemaker ,.
so I do not know what to do. It is easy to say, look for an expert, but honestly said, I won't disappointed my cardiologist.
my story shows that doctors and patients should be alert all the time don't you agree?.
yoanne

Jump to this post


Replies to "hello martin, as I wrote before in some posts, I showed a unexpectent development after the..."

Sorry @yoanne to hear about your A-fib difficulties in this posting, especially the decline in your clinical condition. A similar decline in mine appears to be attributable more to my kidneys than my heart (my hypertension shot up to an emergency level a few weeks ago). Relentless alertness for symptoms that signal trouble ahead is absolutely necessary, and I'm glad to report that my Personal Care Physician once again surprised me with a warning that my kidneys may have caused or contributed to the emergency, and she referred me to Nephrology again (after three years of previous treatment there). I learned from this and previous experience with my medical team that "to be alert" should not mean calling the tune for the medical team to satisfy my personal, subjective view of what's happening. Instead, the alert should lead me to ask questions that are suggested by my experience with my symptoms, affording my doctors crucial information that may lend more meaning to results of various medical tests and medications. In this way, a respectful relationship with the doctors gives more meaning to the word "team" in describing cooperation toward control, if not cure. Martin

@yoanne ho yes i had a few ablations over my 10 years with a pacemaker im surprised your doctor is Leary of it. All of my EP Doctors i had over the years did ablations on people with pacemakers. So if you live in the Phoenix Arizona area i can suggest some. But also my last ablation was at Mayo Clinic in Phoenix and even tho my heart was too far gone they had no problem doing it with a pacemaker. Good luck and God Bless. Im here if there are any questions you may have.