← Return to Paroxysmal Atrial Tachycardia
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Let's be clear: There is NO established understanding of what causes incident/onset atrial fibrillation. Moreover, there are NO established cures, medical or surgical, for atrial fibrillation (& that includes...catheter ablation: virtually everyone who has catheter ablation experiences post-ablation relapse of atrial fibrillation; & cardiologists are only too happy to follow-up the first ablation...with a second & a third, which is often the case...as the atrial fibrillation almost always returns; at $80K to $90K per catheter ablation, one can readily understand the attraction interventional cardiology in the form of catheter ablation--which takes about an about and 50 minutes to complete, might have for many cardiologists).
Note: Many electrophysiologists agree that ablation for AF is beneficial in some cases but disagree about when this invasive procedure should be performed in the trajectory of the patient's condition.
So I turn to someone, a cardiologist, who has pioneered the Conservative Medicine Movement (you can read their declaration in "The American Journal of Medicine;" see below for link to full declaration), John Mandrola (an electrocardiologist), on the subject of addressing...& more importantly...managing atrial fibrillation (with an unacknowledged nod to now-deceased Dr. Stephen Sinatra): https://www.drmcdougall.com/education/lectures/john-mandrola/ (a short video).
When considering incident AF (including my own, which was caused by the booster C19 mRNA vaccine, following incident myocarditis), three concepts/words come to mind...LONG before I will ever consider...interventionist cardiology: Lifestyle, diet, & supplementation.
Here is the URL to Dr. Mandrola's Web site: https://www.drjohnm.org/about/. His Web site includes links to all of his published research & articles on Medscape.
Worth noting that Dr. Madrola is a...physician-scientist, which makes a very big difference in understanding & epistemology (scientists create knowledge; physicians consume/apply it) & is Medscape's Cardiology editor (he also pens a monthly column on cardiology & cardiological research for Medscape).
Here's "The American Journal of Medicine" declaration on Medical Conservatism, which I surmise to be in no small part inspired by what he has observed in...rising tide of interventional cardiology: https://www.amjmed.com/article/S0002-9343(19)30167-6/fulltext.
All the best!
Paroxysmal apparently does not always progress. It hasn't for me. But mine are infrequent.