Heart Rhythm Community
AVJ ablation
About This Community:

A community of people experiencing Heart Rhythm concerns. Ask a question, join a conversation, share experiences: symptoms, management, and treatment.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

AVJ ablation

I have a history of AFib.  I have had 3 ablations (2 left artial ablations and 1 right atrial ablation) and a dual chamber pace maker implant.  I am currently on Tikosyn, diltiazem, atenolol and warfarin.  With all this, I still have daily breakthroughs.  My options have narrowed.  I have been presented with the option of having an AVJ ablation that will ablate the AV node and therefore make me totally dependent on the pacemaker.  What are the risks and quality of life issues I will face if I choose to go ahead with this procedure?

KSIG
Related Discussions
251395_tn?1434497886
Hello...

As with any choice that we all face, there are pros and cons. Benefits of ablating the AV-Node are, resumption of a regular heart rate (even though a pacemaker may be determining the heart rate), relief from symptoms associated with palpitation, dizziness, syncope. Most likely allowing you to discontinue most of the meds with the exclusion of warfarin.

Potential complications of ablation of the AV node  include bleeding, infection, heart attack, stroke, introduction of air into the space between the lung and chest wall, and death.  These risks are the same for all that choose any type of ablation procedure.  

Candidates for this procedure are those who respond poorly to both chemical and electrical cardioversion. These patients experience repeated relapses of AF, often with rapid rates of ventricular contractions despite medications. Ablation of the AV-Node also  a decent option for Afibber's who develop serious side effects from the medications that are used for treating and preventing AF.

Ablation of the AV node only controls the rate with which the ventricles beat. It does not convert AF to normal rhythm. Because you will still have afib, despite the ablation of the node, you will still need to take your anticoagulant.

I was scheduled for this very procedure this past Aug. However, due to unforseen circumstances it was postponed. For me, the decision wasn't easy, but I felt that if this would bring some quality of life back to me...it was well worth it!

I wish you the best as you come to terms with whatever decision you make. Please update is with your plan and outcome:)
Blank
Post a Comment
To
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
995271_tn?1408549100
Blank
itdood
PA
86819_tn?1378951092
Blank
Bromley
1423357_tn?1414258965
Blank
tom_h
Central, MA
Recent Activity
5851092_tn?1404137064
Blank
hefner33 uploaded a new photo
5 hrs ago
1236893_tn?1408490528
Blank
Conjugated linoleic acid-induced to...
12 hrs ago by gymdandee
506791_tn?1439846583
Blank
Piparskeggr commented on photo
12 hrs ago
Heart Rhythm Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1371753642
Blank
TMJ/TMJ The Connection Between Teet...
Jan 27 by Hamidreza Nassery , DMD, FICOI, FAGDBlank
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
995271_tn?1408549100
Blank
itdood
PA
86819_tn?1378951092
Blank
Bromley
1423357_tn?1414258965
Blank
tom_h
Central, MA