Pacemaker for persistent AF?has anyon... - British Heart Fou...

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Pacemaker for persistent AF?has anyone had a pacemaker for AF

shwills profile image
6 Replies

Hi

To all that know me I have HF, 2 leaky valves, a hole in my heart and persistent AF, Artrial Flutter, SVT

I have a pacemaker put in for Brady and sinus pauses which has worked for that. Now my AF is Persistent and the consultant was saying they may be able to do something with my pacemaker for the AF, I have a bi-ventricular pacemaker, I possibly will be having other ops for the hole. I have had 4 ablations which have not worked so can’t and won’t have anymore they have caused the hole.

I think the consultants are thinking about ablation of the AV node which I am totally against, so my question is does anyone have a pacemaker for persistent AF without the AV node ablated and if so how does that work

Thank you

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shwills profile image
shwills
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6 Replies

Perhaps try the AF section for replies - lots of folk on there with pacemakers both with & without AV node ablation.

Pat x

not2worry profile image
not2worry

My husband had persistent, non-symptomatic AFib. He was fitted with a PM over a year ago and has been monitored since then. He has only had 3 AFib events over the last year and the PM brought him back to normal sinus rhythm.

I don't know how old your PM is, but with the newer ones they can make adjustments quite easily.

Yours from Across the Pond

shwills profile image
shwills in reply to not2worry

Hello

Thank you for your help

I am a little confused as I believed that AF can only be helped by medication and that a pacemaker only helped with Brady and sinus pauses which it has helped me

My pacemaker is new only May this year and no ventricular one

Of course I don’t expect you to have medical knowledge but any information you may have is helpful

Thank you

not2worry profile image
not2worry in reply to shwills

My husband has a PM from St Jude Hospital that now is owned by Abbot. Two leads work to sync the chambers to beat and set so the bpm have a range from 60-70bpm. The 3rd lead is the defibrillator lead which he elected not to have turned on due to the loss of heart muscle. His cardio doc felt the “shock” would have little benefit in the event my husband had another heart event. I don’t know how to explain how it works with electrical system of the heart but it does. His electrophysiology was explained by hire electrophysiologist but it went over my head. Is synchronization of the chambers of the heart. He on wasn’t a good candidate for Ablation which severs the electrical nodes of the heart that deliver confusing signals to the heart that results inAFib. You might want to check the Abbot Lab site or the AF or PM Boards on this site. Best Wishes

shwills profile image
shwills in reply to not2worry

Thank you, I have a St.Jude PM as well

I have had 4 ablations but not the AV node which I am totally reluctant to do

I guess it all depends on your heart problems what they can do

Thank you

nilmonisikdar40 profile image
nilmonisikdar40

Thanks so much for your profound knowledge of what the cardiacs are doing to you. I clearly empathise what you are going through. This has been a challenging time but I am sure at the end of the day, there is a solution. I have a permanent pacemaker which went wrong. Was unable to correct it through N.H.S.and so had to have resynchronisation of the leads with a biventricular device all done in private sector. The procedure seemed to have stabilised the the rate ratio of the beats and helped my exercise tolerance. What does HF stand for?

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