CARDIO ABLATION

Posted by ltssjs @ltssjs, Nov 16, 2019

Any experience having cardio ablation for persistent flutter with rapid ventricular rates?

Hello, @ltssjs – since you've asked about ablation for persistent flutter with rapid ventricular rates, I wanted to check and see if you are referring to treatment for atrial fibrillation (AFib) https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624?

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@lisalucier

Hello, @ltssjs – since you've asked about ablation for persistent flutter with rapid ventricular rates, I wanted to check and see if you are referring to treatment for atrial fibrillation (AFib) https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624?

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Atrial flutter (AFL) and atrial fibrillation (AF) are quite different tachycardias. I've been advised that flutter ablation is generally the easier procedure but, especially if you began with fibrillation, and perhaps if you've had both flutter and fibrillation at the same time, then the destruction of the flutter circuit may be succeeded at some point by the appearance of AF. Hopefully your cardiologist has explained to you carefully that a further procedure may be necessary in the future, either because the ablation itself is unsuccessful or because, while successful, it is nevertheless followed by the emergence of AF. I've appreciated being well informed in advance.

Liked by Lisa Lucier

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@dcacbtcfmc

Atrial flutter (AFL) and atrial fibrillation (AF) are quite different tachycardias. I've been advised that flutter ablation is generally the easier procedure but, especially if you began with fibrillation, and perhaps if you've had both flutter and fibrillation at the same time, then the destruction of the flutter circuit may be succeeded at some point by the appearance of AF. Hopefully your cardiologist has explained to you carefully that a further procedure may be necessary in the future, either because the ablation itself is unsuccessful or because, while successful, it is nevertheless followed by the emergence of AF. I've appreciated being well informed in advance.

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Thank you for the comments. My assessment is Paroxysmal atrial fibrillation and Atrial flutter, unspecified type. I have a pacemaker and a watchman device. As stated previously the Assessment & Plan states persistent atrial flutter with rapid ventricular rates. It also states the most definitive way possible to have this fixed would be ablation. It also states there is a reasonably high chance of developing recurrent atrial arrhythmias but those may be easier to control in terms of rate. As to the last comment I don't have any idea as to the "control". What procedure is utilized regarding "control" I do not know. Do you have knowledge in regard to this?

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Hi @ltssjs

My understanding is that the pacing already in place should attend to any bradycardia and that the "control" of any recurrent tachycardias would be attempted with anti-arrhythmic meds. It could be useful for your cardiologist to tell you in advance what those meds might be so that you can research them. All the best.

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