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AF Association
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Pace and ablate interval

I MAY, PERHAPS, NOT SURE .............. have a 'pace and ablate' procedure soon, perhaps! .... I know there is about a six week interval between the pacemaker being inserted and the ablation of the AV node, so is the pacemaker on and working during this time, or not working until the ablate part?

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As I understand it, it takes about 6 weeks for the wires to embed themselves solidly into the heart muscle. For that reason, it's not a good idea to ablate the AV node (which will mean you are 100% paced) until that has happened and it has been checked. Depending on the settings on your pacemaker, it may add beats if your heart is too slow (bradycardia) but I don't think it'll do anything if your heart is too fast.

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I have posted here for approx. 2 years whilst researching everything. I recently agreed to a pace & ablate procedure and this was arranged (pacemaker) within 2 weeks. It is early days yet inserted 25/10/18 but I can definitely say it is working. I cannot believe the difference already, the severe shortness of breath has vanished .

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I know you have been thinking about this for a long time. What makes you hesitate?

heartrhythmalliance.org/res...

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I am hesitant because I have never heard a really satisfactory explanation as to what it will feel like when I have a bout of AF after having the PM, and if I go into permanent AF, which apparently 75% do. what will happen then? My EP says things like 'everyone is different ' and 'do you have breathing problems when in AF?'. What? In between my bouts of AF now, I feel perfectly well, so I am very reluctant to have the PM. However, when I am in A&E and I can't move or breathe, then it is a different story and I always say 'I can't stand it any longer'. I was given a date for the procedure in September, but completely went to pieces and had to cancel it. Then a few days later had a horrible AF episode again.

I am seeing EP again next Friday, so will have to face the decision again. Thanks for remembering how I feel.

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Have you tried all the possible life-style changes, such as no processed foods, losing weight and taking magnesium?

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Yes, everything I'm afraid. Thank you anyway

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Hi Melleray, I have PAF along with SSS. I’ve had a 2 lead pacemaker since 2012. I’m a 64 yr old male. The heart meds were not all that effective and the side effects were totally not welcome. I decided for the AV node ablation last June. The worse thing about the procedures were the stress and anxiety which I created with my own mind. I just had to do what I had to do. I had to put myself in the hands of the experts and let them do their thing. I had to trust them. And it really wasn’t all that bad. Real doable.

I’m still in the stage where I’m discovering if the Ablation was 100% successful. I have an appointment on Tuesday at the pacemaker clinic. Sometimes things need to be adjusted or course corrected, but a sense of stoicism is always helpful. Modern medical technology is pretty amazing!

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Thank you - it's good to hear you are doing okay. Do you feel better?

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I’m feeling ok, but that is relative I suppose. There is always the stress thing to deal with but that’s life. In the present moment, all is well. I have a pacemaker/arrhythmia clinic appointment in a couple of days so I’m hoping for some answers as to what is happening with my heart rate and whether they will recommend meds again or another attempt at ablation. My regular EP is away so perhaps I won’t get any definite answers.

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Hi, I’m feeling a lot better since my last pacemaker checkup. There were 2 tech nurses checking this time and I think they really got precise with the settings. I seldom feel palpitations even though I’m still having some Afib. I do get some runs of pvcs. BP was a little bit high so I decided to take some bisoprolol for it and it helps with the Afib too. I only take 5mg per day so it’s not too hard to handle. I’ve also been taking magnesium taurate, 250 mg per day. So with all that I’m feeling better.

I have another pacer/cardio checkup in 20 days so I should learn more at that time.

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