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Atrial Fibrilation ablation surgery or Pacemaker

Posted by ann3838 @ann3838, Jun 6 10:24am

Just recently been diagnosed with AF. Medications to slow heart rate and blood thinner. I have breathing difficulties occasionally throughout the day. Where I have to lay down for 10 mins. My caradiologist wants to perform an ablation surgery but there's no guarantee it will fix and a second ablation surgery maybe required. Another alternative is as Pacemaker. Has anyone had the ablation surgery more than once and ended up having a pacemaker.
I'm 72. All I know is I can't wait for 8 months I need something now.
I'm meeting with medical consultant and heart nurse next week. What we questions should I ask. Thanks.

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bettycll | @bettycll | 6 days ago
In reply to @ann3838 "Betty, what they're proposing for me is not the ablation that goes up through the groin..." + (show)
@ann3838

Betty, what they're proposing for me is not the ablation that goes up
through the groin to the heart and makes burns around the chamber. Sure not
their words but mine. The ablate part of my pacemaker insertion is a
different type. There's a node in the middle of the 4 chambers that they
interrupt. I'll read that paperwork and let you know. Cheers Annette

Jump to this post

Thanks, Annette - it sounds like they are proposing an AV Node Ablation for you. My doctor referred to it as a "simple ablation". I will look forward to hearing about your experience. Good luck!

REPLY
gloaming | @gloaming | 6 days ago
In reply to @bettycll "Thanks, Gloaming! I am concerned about ONE ablation - but your knowing people who have had..." + (show)
@bettycll

Thanks, Gloaming! I am concerned about ONE ablation - but your knowing people who have had four, five, or six ablations is not too reassuring! I sure hope I have a good experienced EP!

Jump to this post

I understand completely, Betty. That's why we at afibbers.org, a free forum site for anyone needing help managing their AF or just dealing with it emotionally, routinely insist that people gather some courage, and their other necessary resources (including $$$), and find the very best EP their money and energy can buy. Those experts are very busy, in high demand, have been practicing for at least ten years (you DO want experience because that teaches in a way you can't in the classroom), and are doing between 6-12 ablations every week. However, asking the EP, when face-to-face, what his/her success rate for index ablations is will help to put you at ease. If they say 90%, don't believe them! Not even the vaunted Dr. Andrea Natale or Dr. Pasquale Santangeli would claim such a level of success. My own EP, the Canadian Cardiac Association's Student of the Year for 1991 was the EP who did my two ablations, and he calmly told me his success rate was about 75% for a first crack at anyone's heart.
I would try to encourage you to be more optimistic than you seem to be, and to educate yourself about what is involved in an ablation. It's straightforward, day surgery (you're home that night just as you would be for a colonoscopy), and if it doesn't work, like it didn't for me, get right back into line and hope for the best. Worked for me. Some take three, four stabs at it before some bright bulb figures out where to make the lesions and block the electrical impulses that are causing the chaos.

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