Heart Rhythm Community
AVJ ablation
About This Community:

This patient support community is for discussions relating to heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

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?1395961265
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
1423357_tn?1373023915
Blank
tom_h
Central, MA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
995271_tn?1312416925
Blank
itdood
PA
1569985_tn?1328251082
Blank
DeltaDawn23
Ann Arbor, MI
MedHelp Health Answers
Recent Activity
4760166_tn?1398360913
Blank
The_beat_goes_on uploaded new photos
6 hrs ago
5194006_tn?1380823487
Blank
KylieRMs_momma Hi everyone sorry I havent ... Comment
8 hrs ago
1236893_tn?1394988190
Blank
New Food Ingredients
11 hrs ago by gymdandee
Heart Rhythm Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank
Top Arrhythmias Answerers
1423357_tn?1373023915
Blank
tom_h
Central, MA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
995271_tn?1312416925
Blank
itdood
PA
1569985_tn?1328251082
Blank
DeltaDawn23
Ann Arbor, MI