ablation question

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JohnnyD

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I was recently misdiagnosed with v tach, the good news is I do not have it, but I do have occasional afib, my electrocardiologist scheduled me in for an ablation I had a cosgrove ring mitral valve repair in 2004... and have always had occasional afib. I would like to ask anyone who has had an ablation how that went for them...
 
Hi JD,,

I had a double ablation seven years ago. For the first 4 years I had no a-fib, or a-flutter incidents.
Then they would occasionally try to kick in again, but only for about 20 sec before the ablation stopped it.
I think the most critical factor is to select a good doctor, that can really determine which nerve or series of nerves is causing the vicious electrical cycle causing the A-fib. If they can properly determine this, your success rate for an ablation will be greatly improved.
In my case my doctor one nerve specifically, and then also basically cut a scare path through the diameter of the nerve cycle path causing my A-flutter. Sometimes I can feel the A-fib start, but it quickly ends because the cycle of the nerve path is short circuited due to the ablation. Hope this makes sense to you.
Ablations are in many ways a hit or miss situation. That is why I mentioned a good doctor with good clear images of the issue.
The 3 main causes of A-fib for me are Stress, Lack of Sleep, and Alcohol. There are times that I have had A-fib return for about 12 hrs, but these instances are rare, and usually brought on by Stress, For example, when my dad passed away. All three contribution factors kicked in.
Hope this helps you research what road is best for you to take.
Cheers,
Rob
 
Hi JD,,

I had a double ablation seven years ago. For the first 4 years I had no a-fib, or a-flutter incidents.
Then they would occasionally try to kick in again, but only for about 20 sec before the ablation stopped it.
I think the most critical factor is to select a good doctor, that can really determine which nerve or series of nerves is causing the vicious electrical cycle causing the A-fib. If they can properly determine this, your success rate for an ablation will be greatly improved.
In my case my doctor one nerve specifically, and then also basically cut a scare path through the diameter of the nerve cycle path causing my A-flutter. Sometimes I can feel the A-fib start, but it quickly ends because the cycle of the nerve path is short circuited due to the ablation. Hope this makes sense to you.
Ablations are in many ways a hit or miss situation. That is why I mentioned a good doctor with good clear images of the issue.
The 3 main causes of A-fib for me are Stress, Lack of Sleep, and Alcohol. There are times that I have had A-fib return for about 12 hrs, but these instances are rare, and usually brought on by Stress, For example, when my dad passed away. All three contribution factors kicked in.
Hope this helps you research what road is best for you to take.
Cheers,
Rob
 
Interesting as I was wearing my holter during an unusally stressful time at work… which is what alarmed my cardiologist. I have occasional afib… yes I have access to very good team that will be performing the ablation. Part of me wanted to roll the dice and not take Bisoprolol or the ablation but reading posts from other aging athletes has me definitely considering the ablation. I have great confidence in my electrophysiologist. Thanks for your take on this…
 
I had two ablations a few years ago. One seemed to help. The other, not so much.

My electrocardiologist wanted to do another - but it was impossible to get to because it required going through my prosthetic aortic valve.

He also tried for an hour or two on a third ablation, but couldn't find the source of the signal (because there wasn't one - see below).

But, OTOH, I went to specialists at UCLA who did a two week monitor, and a cardiac MRI and decided that I didn't need an ablation after all, and that my PVCs were a result of weakness of the heart muscles (I temporarily forgot the term) and not from electrical issues.

My electrocardiologist is on top of his game - and he recommended that I go to get to UCLA's rhythm correction center.

I'm still getting PVCs - even more than before. Adjusting my heart rate didn't seem to block them.

When it's a structural issue, perhaps there's not a lot that can be done -- but for the right people, with the right electrical issues, ablations can be very helpful.
 

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