Pulse field Ablation

[southkorea]

Has anyone had Pulse Field Ablation? If so at which hospital? Is it expensive? Also can anyone advise me what foods I ought to avoid as lately I have had a couple of attacks of AF initiated by indigestion. Also lately I have had two attacks of a very fast heart rate (. 120) but no signs of A F . This has not happened to me before!!

[Letofeyd]

Just to say that 120 is not "very fast" heart rate. It is only what moderate exercise would cause.

[southkorea in reply to Letofeyd]

Thank you! That has cheered me up!

[Rainfern]

Hi. It sounds like you need to discuss potential treatments with an EP (electrophysiologist). Not all cardio departments offer pulse field ablation yet as the equipment is new and expensive. It does the same thing as cryo ablation but is marginally safer and less likely to cause damage to the oesophagus. I believe what matters more than the type of ablation is the skill of the EP. I had a cryo ablation and that worked fine for me. If you’re talking of cost, it’s worth booking a private consultation (£250 approx) for a nice long chat with an EP and time to get all your questions answered. Private ablation in UK you’re looking around 20 grand.

Sorry, just read your bio - you obviously know more about ablations than me - I’ve only had one!

[southkorea in reply to Rainfern]

Thank you for your helpful reply. Yes I have had two ablations . They have reduced my number of episodes significantly but I have had three in a row since Dec largely caused by digestion problems ( for example eating picked vegetables !! ) I am going to book a consultation with my cardiologist today!!

[Millbrook]

My husband had PFA in Mar 2023. The new technology reduces risks and surgery time by half. He stopped taking rivaroxaban and only lately started edoxaban when his cholesterol went up

[southkorea in reply to Millbrook]

Thank you. Where did he have the procedure ? Glad to hear he is doing well.

[Millbrook]

Singapore

[southkorea in reply to Millbrook]

A bit far for me to go!!!! Did it stop the A F ?

[Millbrook in reply to southkorea]

Yes. It was great.

[southkorea in reply to Millbrook]

Two more questions please. Was it done under local anaesthetic and how long was the recovery period. ?

[Millbrook in reply to southkorea]

It was under GA and he recovered in about 4 weeks. There was no afib immediately after procedure , chest felt sore as if he had been punched . Stopped flecanide and rivaroxanban as well

[southkorea in reply to Millbrook]

Thank you!!

[Blugene]

l believe Papworth Cambridge do pulse field ablations. Also Cleveland Clinic London

[southkorea in reply to Blugene]

Thank you

[Foreverfibber]

PFA is the latest advancement in afib ablation. It is safer and more effective because it does not target healthy tissue and minimizes risk of esophageal complications. In the hands of a skilled doctor statistic show it to be much more effective than standard radio or cryo frequency ablations.

[southkorea in reply to Foreverfibber]

Thank you so much . I am hoping Bristol might offer this shortly

[Buffafly]

Pickled vegetables 😳 ? For a start I’d avoid anything pickled, highly acid foods (citrus, tomatoes), spicy food especially chilli, strong tea or coffee on its own, sugar and substitutes, fizzy drinks, preserved meat (preservatives altogether if possible), high salt or very fatty foods and large meals. I guess now I’ve ruined your life 🥲

[southkorea in reply to Buffafly]

No but good advice

[southkorea in reply to southkorea]

Can you use maple syrup to sweeten? I should take note of your advice as when I do have an attack it normally starts with digestive problems so very likely to be food. Too much drink or stress are the other triggers. Must follow Posh Spice then who eats only grilled fish and vegetables!!!!

[marcyh in reply to southkorea]

Maple syrup is a natural sweetener, a good thing, but it still needs to be used in moderation. I also keep coconut and coconut sugar on hand as alternatives.

[southkorea in reply to marcyh]

Thank you! I have used Maple and fig syrup for some time

[Lyndylan]

I had a pulsed field ablation under GA at Kings college hospital in December. It was done under the NHS. So far no sign of A Fib at all and no post op problems except tiredness for a couple of months while recovering.

[southkorea]

Brilliant! Well done! Was it done under local anaesthetic ?