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It,s my turn

by cuttersma, Jan 14, 2008 09:16AM
I will be getting an ablation in Febuary and I have been terrified.. I accidently ran across this board and feel a little bit better after reading the past posts. I am still confused about the differences in treatment, My doctor said three to four hours and that I would be under anesthesia.

I can"t really get a good answer about how dangerous it is if an ablation is not done. I have been out of rhythm since July 07 and have had two conversions that lasted about two weeks each. .No one seems to be able to say why some people get out of rhythm or what causes it to happen.

Do all ablations work or do people have to have it more than once?

I would apprecite any help with these questons and your prayers for a safe recovery.
Member Comments (5)

by sueinns, Jan 14, 2008 10:09AM
To: cuttersma
Ablations do work but their success rate is related to what type of arrhythmia you have, if they are able to produce it during the procedure (most of the time they can) and whether it is focal (one spot) or multi-focal (more than one spot).  There is also no guarantee that you won't develop another arrhythmia somewhere down the road.

I'm not sure that they know the exact causes.  I have read articles that athletes are more at risk --- something to do with adrenalin --- but there are no clear cut answers for this perplexing problem.  Hormones seem to play a role in women.  Most of them are an electrical problem in structurally normal hearts.

I had an ablation done for SVT.  My doctor told me that without the procedure my chances for developing atrial fibrillation later in life would have increased.  I was given a success rate of 95% so I'm hopeful that I won't need another one.  Had I not had the procedure, I would have had the condition for the rest of my life.  

These arrhythmias seem to have a mind of their own when it comes to rearing their ugly heads.  Mine would come and last for weeks and then, without rhyme or reason, disappear for a bit.

Many are managed just fine on medications and beta or calcium channel blockers are quite safe for most people.  

Sometimes the anxiety leading up to the procedure is the worst thing to deal with.  Although not everyone has a good experience, I actually found the ablation not bad at all and only had two doses of medication.  I was aware of everything and it wasn't scary at all.

Good luck to you.

by Barbmag, Jan 14, 2008 10:47AM
I too had an ablation many years ago and it suppressed my tachycardia which I had been having almost daily. I had an extra pathway ablated and it was not a bad procedure at all. I agree with people who say that the wait time leading up to the actual ablation is worse than anything even during the recovery process. For me, the recovery was not bad at all, either.

When I had it, there were no forums, no Google and I had v little info. My EP at that time had no bedside manner and did not take time to explain everything and I was not as 'curious' as I am now!!

I hope you get reassurances here and stay in touch so we know how you made out. I wish you well!!!!

by Donna-lee, Jan 14, 2008 02:19PM
To: cuttersma
My hubby Stu had ablation for atrial flutter and he tells me it was a piece of cake. I think everyone has a different experience and to me it seems it's a bit like pregnancy and child birth you hear everyone's experiences. Good luck to you

by Momto3, Jan 14, 2008 04:01PM
To: cuttersma
I had 2 ablations for frequent PVC's.  The doctor was nearly certain there were 2 predominant foci (spots) causing the extra beats.  Each ablation lasted about 6.5 hours and was successful.  

For me, I had a choice of having the ablations or taking antiarrythmics for the rest of my life.  The PVC's were frequent enough to cause cardiomyopathy and could have led to CHF.  

What type of ablation are you having?

Not to worry, we'll be here to get you through this : )

connie

by mml78, Jan 15, 2008 05:55PM
To: cuttersma
Hey, cuttersma!  I really feel for you.  I, too, am going in for an a-fib ablation soon (at the end of this month).  I am scared, too, but I think most people pull through just fine.  I've heard here and from other sources that the period leading up to the procedure is worse than the procedure itself.  

As far as why you go out of rhythm, I guess it depends on the arrhythmia.  I have atrial fibrillation, and no doctor has ever been able to tell me why.  I've had it since I was 17 (I'm 29 now).  No one else in my family has it, so I'm confused about why as well.  As for how dangerous it is, with respect to a-fib, I think if you're constantly out of rhythm, you can develop congestive heart failure, but I think that takes a long time (my doctor told me I probably wouldn't have to worry about that until I was older) and it increases your chances for stroke (which is why you're probably on aspirin or a blood thinner of some sort).  Is your rate controlled, at least?  

As for how many ablations you'll need, my doctor told me that people who go in for the a-fib ablation often end up developing atrial flutter from the scar tissue, but this is a less chaotic arrhythmia, and most of the time it is corrected with a second procedure.  I think the stat on that is 50% of people who get the a-fib ablation develop atrial flutter and require a second procedure.  But I think the success rate after that is like 80-90%, which is awesome!  

I will definitely pray for you.  My heart really goes out to you, and I wish you luck with the procedure.  I know you're going to be just fine, and so much happier once the arrhthmia is out of your life.  Good luck!
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