Ablation or not

Had A F permanant for a few years, Do you think its worth the risk of having a Ablation, had 2 cardiovertions only lasted about one hour, Been on amiodarone for 10 months, waiting for ablation,

I know your not suppose to be on amiodarone for to long but feeling ok just lately,

Thyroid gland not working right so they tell me, can exercise ok, and carry on as normal, so not sure with to have Ablation or not now,

If i stop Amiodarone and go back on Bisopalol will i get worse again.


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  • I would say yes. But since so long in afib success rate is lower and suggest a top EP perform the ablation to increase a good outcome. May need more fhan one ablation since so long in afib also.

  • Certainly worth seeking advice from an EP of note. Although it may be more difficult, so much depends on the overall condition of your heart and has already been said, you may have to more than one attempt, but if you don't ask, you don't know. I'm no medic, but Amiodarone is one of the more potent drugs used, whereas Bisoprolol is far more commonly used, so the indications are that you might, but you really should seek proper advice......best of luck......John

    ps I think thyroid function can have an effect on AF so I suggest you add that to the list!

  • My AF was peresistent for 2-3 years before I had an ablation BUT it was controlled by drugs during that time so I had few symptoms. The ablation worked totally. In your position I would just follow the advice of my EP.

    Mine thought it was good for me and he was right.

  • points to consider, your quality of life is already affected by Af,

    your episodes of Af may well happen more often and get progressively worse, you may not be classed fit for surgery sometime in the near future, due to some unforseen and

    undiagnosed illness and then youll be stuck on medication which probably doesnt work to well, I admit last bit is hyperthetical, but worth thinking about

    My Af got so bad I couldnt work and didnt really care who carried out the surgery..it could have been a hospital porter, thats how a desperate state I had reached, but thankfully thats now history....good luck

  • I was in AF for about 8 months... Drugs and 2 cardioversions did not help. I did a RF Catheder ablation in April.... I was good for about 3 months then AF slowly came back. It affected me less though. I redid the procedure 7 months later (a week ago.. Dec 2,2016) I'm good now.... Time will tell if I stay in NSR permanently. Find the best doctor u can.... Mine does these procedures on other doctors so that was good enough for me to hear. The procedure was easy for me with no complications (second time around I felt great the day after.... First time took about a week to feel normal) but everyone is different.....hope this helped......good luck!!!

  • I am in the same position as you. I have had 2 ablations 1st worked for 5 months and 2nd for 2months so am also on Amioderone with another ablation booked for January. I am pondering about having it done for the 3rd time as EP is only giving it a 50/50 chance of success and I am jogging along ok at the moment but know I cannot stay on the Amioderone long term as a little concerned that it is affecting my eyes. I don't regret having the ablations though as I feel I have given it their best shot. The longer you are in persistent AF the more difficult to treat so have a good word with your EP ask all the questions you can and make an informed decision. Best wishes.


  • thanks very interesting

  • Thyroid problems can cause AF, so get them seen to. But, amiodarone stops your thyroid using the iodine it needs in order to work properly, so the thyroid is very likely to go awry. Then you have the problem of coming off the amiodarone (and using what?) and waiting months for your thyroid to return to normal (assuming it does), and meanwhile the AF may be worse because the thyroid is not functioning as it should. Catch 22?

    So I would do anything to stop the amiodarone - so if this was me - ablation - Yes! Meanwhile what about all the recommendations on here for magnesium and other diet changes and food supplements? Our bodies rely on receiving the right balance of many nutrients. Without them they stop functioning so efficiently, and AF is one possible consequence, so replacing the missing ones, particularly magnesium, can surely only help. The principle is that the body will use what it needs, and get rid of the rest. Caution: do not take supplements of potassium except on a doctor's strong recommendation. There is plenty in our food eg bananas and other fruit, and the balance is very important. Too much, or little, can be serious. (Potassium supplements are rarely sold in the UK)

  • Thanks for info, cheers

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