My rhythm problems have perplexed my EP/ Cardiologist. I had afib w/ rapid vent response that could only be terminated with cardioversion. I subsequently went for EP study in Oct 06' and was found to have AVNRT, he tried to ablate but could not. I then went in again to Tufts NEMC in Nov 06' for another try, this worked for about 6 weeks and was back with a vengence. I then went into the Brigham&Woman's in Jan 07' for another ablation. Dr thought this time was sucessful. I have had multiple event monitors for recurring symptoms. Latest strip showed a WCT at 250 bpm. Initial thought was that it was a V-Tach, but after my Dr had time to really examine the strip it was a very rapid afib with abberency. I have failed drug therapy (Flecainide, Sotolol, Rhythmol) I have 2 different Dr's suggesting 2 different courses of treatment. One suggests trial and error with more meds, one suggests short course amioderone or pacemaker implant. I am so sick of this whole thing and just want my life back. There is not one day that I am not completely worn out. I am only 39 years old and until this, led a very active life. My primary cardiologist is completely perplexed. I can see the frustration on his face when I go in for my appt. and when he says, "I just don't know what more to do" I certainly don't get a warm fuzzy feeling inside.
My questions are:
1. I know that a pacemaker would not cure the afib, but would keep the rate under control. Would this be a decent option for me?
2. My Dr had suggested me getting a 3rd opinion at Mass General with Dr. Mansour. I'm not sure that I want to start over with yet another Dr., how many opinions do I really need?
3. I am not looking for a bandaid to my problem, I am looking for a permanent solution. If I were your patient, what would you suggest I do?