Should I do a third study

I had my 2 nd ep study on 7/28/2010. Doc said he could not reproduce the rythmn so he abalted from the areas most common for a-fib about 80 %. After the ablation I still had some issues, so he put a holter on me for 30 days during that time I was admitted 4 times to the hospital. The result of the holter was Atrial tachacardia with abberancy. Sometimes my rate reached 283bpm and I my blood preasure would bottom out fluids were given to bring me back. the last trip to the hospital the started a 24 hour drip of amiodarone to try to keep it undercontrol I on it for now for 2 weeks. I still have the occasional pac which I am confident are the trigger for the tachacaria ,so it cscares the heck out me cause I know whats coming next. He wants to do a third study only this time awake my first one was awake and it was pure torture. Should I have another one? I have to wonder what makes him think he can reproduce the ryhthmn this time, and where else can the extra pathway be?

[cindy707]

My vote would be yes to go with another study ......but ......i would be getting a second opinion from another doc and possibly another doc doing the procedure AFTER i did all of my research in finding the best of the best in your area. There are a couple of things i do not uinderstand here....one is how can he ablate an area that is "common" that makes no sense at all to be....its like throwing gum at a wall to see if it will stick.  Docs have to re create the bad pathways as a map on where to ablate and i only hope that this doc did this thru cryo or RF's and not burning.  After ablations for up to 6 months we all have issues after the procedure with residual tach and fib it is common for that to happen and for me i reached into the 300's and my ablation was deemed a success at the 6 month mark.  Alot of us the docs gave us a light beta blocker like antenolol to get us thru the rough spots until our hearts were thru healing and re learned the correct way to fire instead of going back to the bad way.  The issue with the high pulse rate, low blood pressure and IV pushes with fluid is also also pretty common after believe it or not.  If you think of a lightening bolt shooting towards the ground you will get the general gist of your electrical pathway when its misfiring and taking the wrong route.  I think that there are videos on line that you can watch to understand further what is going on with you.  My confusion is this....so did you have two ablations or one?  Did you have two EP studies?  How far apart were the studies/ablations?  I know for a fact that it takes the docs 90 days to know if it is a fail or not because our hearts are still so reactive to the procedure after being poked, prodded , penetrated and zapped and our hearts are swollen and that also has to decrease.  I don't know the only thing i can tell you here Linda is that i would be cautious in your choices here and get all of the info together that you can before making this decision...based on your own research and opinions of at least one other doc if not two...i really don't like that first sentence on your post about being ablated for the areas most common...it is something that they SEE on the EP screen Linda not something that they "think" may be the right area...to me thats like a doc taking your gallbladder out because they "think" it is the culprit when it was actually an ulcer....we are not test monkeys and with the heart doc gamble be informed....hedge your bets.....get proactive ....get involved with your own body and the decisions that you make for it...and i would not let any EP doc perform anything on me without 1500 procedures under their belts....the doc that has that many has seen and done everything....and i know i am in safe hands.....good luck and sorry you are going thru this...