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Heart Disease (Expert Forum)
Re: ablation?
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Re: ablation?
by DO__0, Jan 01, 1995 12:00AM
Posted By D.O. on December 27, 1998 at 20:39:58:
In Reply to: Re: ablation? posted by CCF CARDIO MD-APS on December 17, 1998 at 12:36:53:
Dear Sandra,
Firstly read what Jamie and D.O. have replied as they provide a direct web site
reference and a very excellent review of what SVT ablation is all about.
Sinus tachycardia is quite different than SVT, and sinus tachycardia is normal and
expected in some situations. Inappropriate sinus tachycardia is a rare problem compared
with SVT, as well the treatment varies significantly. Just as D.O. said in her reply
you need to discuss all these issues with your electrophysiologist (EP doctor), including
what your actual diagnosis is.
As you can see, ablation is a catheter based technique whereby small wire like catheters
are inserted in to the femoral(leg) vein (usually via the right groin) and advanced with
flouroscopic guidance (X-Ray) to the heart where they can be used for all sorts of things-like
stimulating and electrically mapping your arrhythmia, as well as ablating the area that sets up the
arrhythmia with the tip of one of the catheters that delivers a little bit of heat at its tip in order
to create a small burn at the site of interest. I will leave you to read the explanation by D.O. and Jamie
as to what kind of anesthesia you will get prior to an ablation as their answers are very comprehensive.
As for the success of an ablation, it does depend on the arrhythmia, but in general it ranges in the 95-98%
range. Speak directly with the EP doctor regarding the exact risk of undergoing such a procedure because although
low in general, it is certainly not without risk.
There are instances when an SVT can be life-threatening, and not simply an inconvience, so keep that in mind
when you discuss risks and benefits of ablation with your EP.
I hope that this information has been useful, please write back if you have any
further questions.
Information provided in the heart forum is intended for general medical informational
purposes only, actual diagnosis and treatment can only be made by your physician(s).
************
Hi Dr. APS,
I have MVP with MR and also have "inappropriate sinus tachycardia" (diagnosed after ablation procedure). I had an
ablation for SVT/PAT (Sinus Node Reentry). I've heard contradicting stories about the association between MVP and
SVTs. Is there an association? If so, what about the MVP can cause the SVT (since MVP is a tissue problem (from
what I'm told) )?
I've been told the SVT is just "one of those things". I can buy that, but I just wonder if there is an association between
the two, will I be more prone for the BEAST to show up again? I've had the MPV with MR (no change) for 12 years,
(probably since birth but unknown...) and no problems except dizziness sometimes and atypical chest pain until the
SVT started in September 1997. Believe me, I'm not going to loose any sleep worrying if something else is going to
pop up because whatever happens will happen regardless. I'm just curious as to the association (if any).
By all means, I don't want any diagnosis, just some facts on the MVP SVT association. Thanks for your time!
Denise O.
In Reply to: Re: ablation? posted by CCF CARDIO MD-APS on December 17, 1998 at 12:36:53:
Dear Sandra,
Firstly read what Jamie and D.O. have replied as they provide a direct web site
reference and a very excellent review of what SVT ablation is all about.
Sinus tachycardia is quite different than SVT, and sinus tachycardia is normal and
expected in some situations. Inappropriate sinus tachycardia is a rare problem compared
with SVT, as well the treatment varies significantly. Just as D.O. said in her reply
you need to discuss all these issues with your electrophysiologist (EP doctor), including
what your actual diagnosis is.
As you can see, ablation is a catheter based technique whereby small wire like catheters
are inserted in to the femoral(leg) vein (usually via the right groin) and advanced with
flouroscopic guidance (X-Ray) to the heart where they can be used for all sorts of things-like
stimulating and electrically mapping your arrhythmia, as well as ablating the area that sets up the
arrhythmia with the tip of one of the catheters that delivers a little bit of heat at its tip in order
to create a small burn at the site of interest. I will leave you to read the explanation by D.O. and Jamie
as to what kind of anesthesia you will get prior to an ablation as their answers are very comprehensive.
As for the success of an ablation, it does depend on the arrhythmia, but in general it ranges in the 95-98%
range. Speak directly with the EP doctor regarding the exact risk of undergoing such a procedure because although
low in general, it is certainly not without risk.
There are instances when an SVT can be life-threatening, and not simply an inconvience, so keep that in mind
when you discuss risks and benefits of ablation with your EP.
I hope that this information has been useful, please write back if you have any
further questions.
Information provided in the heart forum is intended for general medical informational
purposes only, actual diagnosis and treatment can only be made by your physician(s).
************
Hi Dr. APS,
I have MVP with MR and also have "inappropriate sinus tachycardia" (diagnosed after ablation procedure). I had an
ablation for SVT/PAT (Sinus Node Reentry). I've heard contradicting stories about the association between MVP and
SVTs. Is there an association? If so, what about the MVP can cause the SVT (since MVP is a tissue problem (from
what I'm told) )?
I've been told the SVT is just "one of those things". I can buy that, but I just wonder if there is an association between
the two, will I be more prone for the BEAST to show up again? I've had the MPV with MR (no change) for 12 years,
(probably since birth but unknown...) and no problems except dizziness sometimes and atypical chest pain until the
SVT started in September 1997. Believe me, I'm not going to loose any sleep worrying if something else is going to
pop up because whatever happens will happen regardless. I'm just curious as to the association (if any).
By all means, I don't want any diagnosis, just some facts on the MVP SVT association. Thanks for your time!
Denise O.
