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Discussion:
Cardiac ablation?? Or NOT??
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Doctors tell me the next step, since cardioversion (twice) didn't work is cardio ablation.
However, everything I've read says it is iffy at best, and usually requires a pacemaker anyway. Why not just go directly to the pacemaker?
Posted on 02/27/12, 06:47 pm
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Reminder: This is a support group for Atrial Fibrillation (AFib). We trust you will do your best to remain positive and helpful. For more information, see our rules of the road.

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Email me when others reply to this topic help
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Reply #1 - 02/27/12  7:00pm
" A pacemaker only works when your heart is beating too slowly. Then it kicks in and increases the rate. HOwever, usually in a fib, your heart is beating too quickly (the opposite). Thus a pacemaker wouldn't help out. NOw, if they ablate one if the pacing nodes, then you have to have a pacemaker to make up for it, as I understand it.

Tha ablation I assume you are talking about is the PVI type to stop the errant signals to cause the a fib. "
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Reply #2 - 02/27/12  7:14pm
" Yes 2222 I am in a fib because of the errant electrical signals. "
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Reply #3 - 02/28/12  12:15pm
" I am scheduled for an ablation April 4. Cyro ablation. I am on my 3rd cardioversion. THe last one is try to keep me in sync until my adventure trip to Patagonia is done.

My research suggests that ablation works with a pretty high success rate - sometimes it has to be done twice. It all depends on the individual circumstance. Younger and healthier makes for a better candidate.

My research also suggests looking for a surgeon with at least 800 procedures under their belt. 1,000 - 2,000 would be even better. "
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Reply #4 - 02/29/12  10:30pm
" A pacemaker isn't something I ever want. Destroying the AV node isn't an option, and I'm still left with A-Fib. "
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Reply #5 - 03/01/12  7:09am
" A pacemaker is rate control...except to prevent extreme bradycardia and to mechanically alter heart rate proportionate to exertion level. The only one that I could accept if I was very old, had conduction problems, and was the type of pacemaker that only kicks in when the heart goes so slow or are extreme pauses. Even then, I would think long and hard. "
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Reply #6 - 03/01/12  3:19pm
" I completely agree with you Petey.

I have bradycardia but have always been asymptomatic.
I was told by my previous PCP on his retirement not to let Dr's talk me into a pacemaker as long as I was symptom freeWhat age do you consider "very old". I may be there already.
I'm fortunate. AF continues to be very manageable and not interfering with my normal activities.In the past 6 months episodes have actually decreased in frequency and severity. I'm just on Warfarin. "
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Reply #7 - 03/01/12  3:41pm
" bergeram: 95, but don't hold me to that. I might change my mind then. "

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