I have seen quite a few people here and on other forums asking similar questions. Why have they not offered me an ablation? OR Why are they offering me an AV Node Ablation and a pacemaker?
This really got me wondering about why???? I have spoken to a few others about it including some in the medical profession in the UK and others who lecture on AF around the world. I am going to copy/paste an answer I got from Mellanie True Hills who is the CEO of Stopafib.org and travels the world speaking on AF education and treatment. She pretty much sums up what I have gotten from others that I asked.
"In the UK, with the National Health Service (NHS), a lot depends on the location of the patient. I'm no expert, but I know that there are individual "trusts" throughout the country that administer healthcare, and treatment can vary from trust to trust.
In some (many) trusts, there is a tight focus on cost control. Doctors can be under great pressure to keep costs down. That may mean that patients have a difficult time getting referred to specialists, and often are treated by consultants (primary care).
They also may not be offered expensive procedures, such as catheter ablation or surgical ablation (maze/mini maze). Catheter ablations are actually far more common than surgery for afib; in fact, afib surgery is very rare.
Catheter ablations may require multiple procedures, making them costly, so they are less likely to be offered to patients over a certain age. AV node ablation (many of you know how I feel about that) is a one-time procedure, so it ends up being more cost effective for the trust, and therefore is commonly prescribed because there is some finality to what it costs the system."
I used the example of cutting off the arm to get rid of a hangnail and they agreed and stated that if you cut the arm off then you'll never have to pay for a hangnail again.
Although I do not like the answer I was given.... Now I can understand the questions.