AV Node Ablation with Pacemaker Implant

[DeeDee575]

When I had my AV Node ablation in July I had a two-lead pacemaker implanted.   Since then, I have chronic A-Fib.  Sometimes I feel the procedure done me more harm than good. I still take flecainide 100 mg.  It does not stop the A-Fib, but I cannot manage without it because of symptoms.  The top lead has been turned off.  I understand the electrical signal begins from the SA Node, and when the rt. and left atria are filled with blood the signal causes the atria to contract which pumps the blood to the ventricles.  Then normally the signal travels to the AV Node.  Since I don't have an AV Node, how does the signal get to the bundle of His?  Why would they have turned off the top lead?  My doctor did not tell me he had done this.  I found it out when I went for a pacemaker check.  I do not understand how an ablation does not stop the AFib, and yet a patient would one not feel the symptoms of A-Fib.   Since I am still symptomatic, are there any other options for me now?  I am beginning to feel depressed.  Thank you for any help you can give me.

[PikaPika88]

My doctor said that he set to pacing the Atrial and sening the ventricle, stay that way is better.  The holter report said that my pacemaker is pacing the Atrial and pacing the ventricle.  I don't know why he wants to tell lies.   I also got the 2 leads pacemaker and my av node ablated in 1985.  The doctor said the pacemaker will pace out of any rhythms.  As soon as the pacemaker is working, don't have to worry about the rhythms including V-Fib.  Ask Dr McWilliams, he told some people here that long term pacing the right ventricle can cause heart failure.  I don't want my heart fail...  but my heart does make a lot of mistakes!  Take care.

[Thinline]

When I had my av nodal ablation it took quite a few visits for them to to get to the correct setting for me.  I'd go in every few days and they'd make adjustments according to how I was feeling and what they were seeing when they did the interrogation.  As I say, it took quite a bit of fiddling around but they got it right eventually, just be patient even though its frustrating.

[Thinline]

When I had my av nodal ablation it took quite a few visits for them to to get to the correct setting for me.  I'd go in every few days and they'd make adjustments according to how I was feeling and what they were seeing when they did the interrogation.  As I say, it took quite a bit of fiddling around but they got it right eventually, just be patient even though its frustrating.