This is really just an update on my "Confused of Wiltshire" post but I though it might be worth a new one for those who never saw the original - which was me basically asking whether you get a choice of having general anesthetic or not for ab ablation procedure.
Having seen my Cardiologist yesterday I am now clear - I cannot have general anesthetic for an ablation for WPW Syndrome because GA masks the signal from the secondary pathway (people with WPW have an additional electrical pathway in the heart) and they need that to be able to accurately locate it to perform the procedure. Apparently the ablation for WPW is a lot less complicated than other AF conditions (I'm still not sure even if WPW is classed as an AF condition) and would only take about 90 minutes.
90 minutes conscious? I'd rather stick wasps up my bum!
However, we discussed the "do nothing" option which is basically "keep taking the tablets". I was expecting a very strong push towards the ablation procedure but didn't get it. Instead we had a very balanced conversation covering all the issues for and against each option. The case for ablation is lessened in my case as my symptoms were minimal in the first instance and my reaction to Bisoprolol is pretty undramatic as well. Had that been different, things might have been more black and white.
So, I have to make a decision (nothing unexpected there) but knowing that I'll be awake (albeit heavily sedated) for the ablation doesn't do anything for me... and worth noting if do go down the "do nothing" route, I can always opt for ablation at a later date.