Av Node ablation for Atrial Tachycardia - Atrial Fibrillati...

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Av Node ablation for Atrial Tachycardia

Marvel3000 profile image
15 Replies

Hi All

I Would like to hear others experience of going for a AV Node ablation after having heat & freeze ablations for Atrial Tachycardia.

The previous ablations have successfully controlled my AF but I'm still getting alot of Atrial Tachycardia. Exploring the option of having AV Node Ablation possibly.

Have others found it helpful or continued treating with meds. It's starting to have a real toll on my daily life now.

Thankyou.

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Marvel3000
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15 Replies
BobD profile image
BobDVolunteer

What is wrong with just ablating the A Tach? A pacemaker and AV node ablation is pretty final.

Marvel3000 profile image
Marvel3000 in reply toBobD

They said they don't think further ablations with heat and freezing will make a difference hence the AV Node ablations. I suppose my reluctantly is it will mean I'm 100% reliant on my PM after.

Keepcool profile image
Keepcool in reply toMarvel3000

I might be wrong but I thought atrial tachycardia had a higher success rate with ablation than Afibrillation

Marvel3000 profile image
Marvel3000 in reply toKeepcool

This is good to know I will ask the question when I see them next.

Keepcool profile image
Keepcool in reply toMarvel3000

Sorry Marvel, I didn’t mean AV node ablation, Radio frequency I think is best for tachycardia. I agree with Bob. It’s drastic.

If and it’s a big IF ….some miracle cure popped up then you’ve burnt your bridges..pardon the ‘burn’ pun.

My EP has said AV node ablation is last resort and at 66 I’m a bit young for it (not heard the word “young” referring to me in a long time) gotta love my EP.

BobD profile image
BobDVolunteer

My fourth ablation was for A Tach and worked though subsequently I needed a PM due to pauses.

Marvel3000 profile image
Marvel3000 in reply toBobD

I think I need to ask more questions around why not another ablation?

mike1961 profile image
mike1961

Hi, I'm 63 (AF since 1999 - familial on mother's side) and I've had two ablations (PVI Aug 2018 - RF and re-do Jan 2023 PFA) and currently get short runs of ATach most days - usually 3 to 10 seconds a couple of times a day. No AF though thankfully. I'm told by various EPs I'm doing very well as I am and that they will only do a ATach ablation if the episodes become far longer in duration. Please keep me posted as to how you get on from here. Fingers crossed !

Mike

Marvel3000 profile image
Marvel3000 in reply tomike1961

Of course I'll try to come back and update once I know more. My ATach is coming with lots of symptoms like dizziness though I believe the actual episodes are short ones.

mike1961 profile image
mike1961

No symptoms here with mine - just feels kinda weird. Rate usually about 120/130 BPM. My NSR 50-60 BPM.

mjames1 profile image
mjames1 in reply tomike1961

I'm getting similar but not as frequent as yours however, the episodes are longer. Did your tachycardia start after your adib ablation or was it there all the time? Mine was their proceeding the ablation and it still persists. Daily Diltiazem seems to prevent them. Something you may want to try if you haven't.

Jim

mjames1 profile image
mjames1

How often do you have the episodes and for how long? Did you have episodes before your ablation or just after?Have you spoken to more than one electrophysiologist about this? Some ep's are simply better than others, and I would pursue one at one of your larger well known centers.

I also have tachycardia after a successful ablation. Daily Diltiazem seems to help prevent the episodes. If that stops happening and the frequency increases, I may see another electrophysiologist.

Jim

mike1961 profile image
mike1961 in reply tomjames1

PM sent.

Heartach profile image
Heartach

Hi there, I am the caregiver for my husband and I can say that we have no other choice then to have the AV Node Ablation. This is the last recourse we have to alleviate the symptoms of AF/Flutter for my husband. His in heart failure, enlarged heart with a heart valve & a pacemaker/ICD. A ventricular ablation was done 2 yrs ago that went well and almost a year from an atrial ablation that did not work and went from occasional flutter to persistent Flutter with the occasional short VT. The EP stated that his atrial issue is very damaged and did not feel very comfortable performing another atrial ablation and suggested AV Node Ablation. Ep stated it wouldn't cure the flutter but it would the symptoms to at least live a more normal life and eliminate the chances of a stroke and weakening heart muscle. My husband has an EF of 34 and he can not afford for his heart to weaken anymore. So I have done my research on this AV Node Ablation and have presented all my lengthy questions and other options to his EP and our conversation was enlightening. My husband couldn't be in a better place than Mayo Clinic and they would not suggest this option lightly. So my advise do your research and write all your questions down so when you do meet with your EP you don't forget anything. This is your health and you are your best advocate. Best of luck

SweetMelody2 profile image
SweetMelody2

I am done with the Afib Circus because I have a Watchman and a pacemaker with an AV node ablation. I’m on no drugs and feel much better. I made the right decisions for me. I barely even think of AFib anymore, whereas for over two almost three years it dominated my daily life: drugs, ablations, Cv’s, tachycardia, bradycardia, flutter, you name it. I’m done with all that, free of afib disrupting my life. I bless the day I got a Watchman and my pacemaker is unnoticeable; just a part of me I don’t think much about. I’m happy with my decisions about my heart health.

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