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SVT - Ablation on 8th Jan....can anyone answer me questions I'm wanting to no?

Hi There
I'm just wondering if anyone can tell me what to expect with the ablation I'm having at LGI on the 8th Jan. I am really scared and the doctor told me the procedure is pretty much pain free but he has never had one done himself.
If someone could tell me what is going to happen? I'm scared about them going in my leg, how they numb it (does it hurt), what the pain (if any) feels like, how long it takes. Also did you have to have your heart rate purposely increased? I've had Adenosine to stop my heart and re-start it in Sept when I first found out and I really don't want him to do this as it was the worst feeling ever!
Please help????
Thank you
Clare (21)
34 Responses
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21064 tn?1309308733
Hi Clare,

What type of arrythmia do you have?  I have had two ablations, both were for PVC's. Each time, I was given a medication (Versed) to help relax as well as a pain medication (Fentynl).  The Versed was started in the IV before the procedure and I'm not sure when I got the Fentynl, but I don't remember much at all, and not pain.  The medications worked very well!  Versed also works as an amnesia medication so if your doctor uses that, you won't probably won't remember much.

I don't remember having any needles stuck in me, except for the IV.  It pinches, but it's not bad at all.  I'm told (and my reports confirm) that I was in VT, but I don't remember any of it.  The only time I had some discomfort was when the doctor was closing off the entry site (after the procedure).  The first time, the doctor used hand pressure for 20-30 minutes.  The second time, they inserted osme kind of plug.  I was more concerned about a headache from some of the arrythmia inducing medication.  I remember asking for Tylenol.

After the procedures, I was wheeled to a regular room.  The first time, I had a 10# sandbag on my groin to keep the site sealed. The second time, because I had the plug, the sangbag wasn't necessary, but I used it anyway (figured it couldn't hurt).  Each time, I had to lie flat for 6 hours, but was able to tilt up enough to eat.  I was starving!  The morning after the procedure I was able to go home.  For a few weeks, I felt some PVC's and my heart rate would increase easily, but it all settled down after a few months.  

Make sure your doctor knows you are nervous and that you do NOT want to feel the ablation, etc.  Some people here have said they had pain during the procedures.  It could have been because the doctors chose not to administer anti-anxiety and pain medications, not sure.  Nonetheless, they had pain.

Connie


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Avatar universal
I'm not sure I was upset when he was telling me all I no is I have an extra bit thats causing my heart to race. I'll have to look at the letter he sent to me telling me everything.
He does no how nervous I am and I've told him to be ready for lots of tears I really don't like injections or anything. Do you think they would be able to do an Epidural or something?

Thanks

Clare
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187666 tn?1331173345
An epidural won't help much. The Versed and fentanyl is the way to go. They used those for all 3 of my ablations. For me the worst part was getting the IV (well, I don't like giving up my clothes for a hospital gown either). They have trouble getting the IV in. Even then, some hospitals numb the area first before they insert the IV. My first ablation I was moderately awake but super groggy during the first part. I didn't feel anything as far as the catheters are concerned. I was too busy watching the monitors. That was pretty cool. I did feel my heart beat fast sometimes but that was no different than what it normally does and that's not painful. Laying flat after the procedure is tedious and my back got a bit achy. That made me grumpy but like Momto3, what I wanted was some food!
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21064 tn?1309308733
Clare,

You're gonna do just great!  Feel free to visit here and ask any questions that you think we may be able to answer.  

I don't know of anyone that has had an epidural, but hey, if you can handle those, this is gonna be a cake walk : ).  The needle for the IV is not big and once it's in, they can give you all kinds of good meds to keep you relaxed and comfortable.

Keep us posted and be sure to bring any, and all questions here.  We'll do our best to help you through this.  

connie
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Avatar universal
What is the IV Im not sure what one is to be honest?! Is that what is going to be going in my leg?
Sorry to sound so stupid but I want to understand what realy happens from people that have had it.
Thank you everyone for being so helpful

Clare
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Avatar universal
Hi Clare.  Having an ablation is not so bad at all.  The entire procedure is done under conscious sedation, which means you are heavily sedated and asleep almost every moment of the time.  Even if you don’t sleep as deeply as you are expected to, the drugs they use are hypnotics and so you will have no memory of anything that happened during the procedure.  If my memory serves me right the whole episode goes a bit like this:

First you will probably have to bath in some Hibitane so you are not full of bacteria.  You will get a pre-med before going to the EP lab (maybe but not always) which will relax you.  Tell them you are terrified and they will give you one.  In the EP lab you will be hooked up to an IV – really its just a ***** and it would be a million times worse to have an epidural.  You will be hooked up to heart monitors, BP machine, pulse ox meter, all sounds alarming but truly its not, this is just the equipment they use to keep monitoring you  

They will then start with the drugs and start prepping you – you will be shaved in the groin area.  By the time you are shaved you will be fast asleep and will know nothing till the procedure is over – some take long some not so long – varies from person to person.  They will insert a sheath into the femoral artery in the groin.  Don’t forget you will be sleeping so you won’t feel it.  Then they will feed their catheters into the heart, find the dodgy spot, ablate it (burn it with short blasts of radio-frequency energy).  I have to admit that I woke up during this bit and it was quite painful, but it is extremely rare to wake up during an ablation.  Once they’ve ablated the dodgy bit, you they will stop giving the drugs and you will wake up – you will probably ask when they are going to get started!  Pressure bandages are applied to the femoral arteries to prevent bleeding and I think they leave the sheath in for a while.  When they remove the bandages the sheath will come out as well.

Removing the pressure bandage hurts a tad, but it always hurts to pull plaster off – then they press down on the area for about 30 minutes which is also uncomfortable but not really painful.  After the entire thing you will be a bit bruised in the groin area and sensitive there too, but just look after it carefully and within a very short time you will have forgotten all about it.  You can shower an everything, so its not much of a bother and it heals very fast.

Having an ablation is not exactly on my TOP10 list of things to do before I die, but really, it’s not so bad.  Having my wisdom teeth removed was much much worse.  Yes it is scary and there are moments of discomfort, but as far as pain goes, not really anything to worry about.  So be mentally prepared for some discomfort, but that’s about it.  Good luck and I hope this helped you.
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Avatar universal
Thats brilliant and lets me no what to expect. When I was in hospital the other month following an episode I had to get them to put the heart monitor on mute as it scared me when it started beeping (it beeps when it goes to 100) and made my heart rate go up even more. I think I just panic too much about things. The Dr seems really nice when I met him so I just hope he understands!
What kind of feelinf was it you got when them burnt away the bad bit??? If you can remember?
Thank you
Clare
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Avatar universal
I dont know that I can say anything more than whats already been said here but I just had an ablation about 2 weeks ago. I was nervous and apprehensive going into it but it really wasnt that bad at all. Like everyone said, the prep work is the worst part like the IV, pulling off bandages and having to lay still for 6 hours afterward.
You really get relaxed during the procedure because of the Versed and fentanyl. You may feel a little like heartburn while its actually happening but its not bad at all.
I am very happy to report that my ablation was a complete success and I am PVC free for the first time in 9 months. My suggestion is that you focus on the results of the procedure instead of the procedure itself - positively! You will be fine Im sure. I will keep you in my prayers and I will pray for you earnestly on the 8th.
Be well and God bless
T
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21064 tn?1309308733
Hi Clare,

The IV (intra-veinous) is a needle with a tiny catheter (tube) that usually goes into a vein in your arm (or wherever they feel it is best).  Have you ever had a blood test?  It's a little like that, but a little more of a pinch (not bad).  I'm glad you feel comfortable with doctor.  When you check into the hospital, be sure to let the nurses know that you are nervous and that anything they can do to help will be most appreciated.
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88793 tn?1290227177
We use cannula needle (sometimes spelled canula).  Only a hollow plastic left in the vein.  No metal so you can bend your hand.
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Avatar universal
I think I had one put in when I had the adenosine if I can remember rightly.
Do you perform ablations Pikapika88?

Clare
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Avatar universal
Hi Clare.  I do recall the general feeling of the ablation, it burns.  That is it.  It is such a quick thing though that it is over before you even know that its happened.  You will be sleeping like a lamb at that point anyway so don’t even think about it – I just happened not to be sleeping at that moment because they were re-drugging me – I’m a bit drug immune person so I need lots to keep me out.  I think that you should make your doctor aware of your fears now so that he can be well prepared – especially if you are going to freak out from heart monitors bleeping and stuff.  At least he could give you something to settle you the night before and then maybe you can get the pre-med as soon as you get into the hospital.  Why should you get so anxious about all this when they can give you stuff to prevent it.  I’d certainly ask, what harm can be done by that?  You really don’t need to be so scared about this, its not nearly as bad as you are expecting, and it will be over before you know it – at least its happening soon, you don’t have to wait and worry for the next few months about it.  Once again, good luck and keep us posted on your progress.

Pika, you wanna come over here and do my next ablation?  Clare has given me the worst giggles with this question.  I told you I would laugh with you Pika, but never at you, so now I’m really laughing with you cause it seems my new EP has decided that he doesn’t want to be my doctor either and I’m running out of options here, so I think I’m going to have to rely on you to come sort me out.  Clare, no offence, Pika could probably do it since she’s been there, done it, and seen it all – she is a fun friend to have about.
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Avatar universal
hey hon, how are you doing? i was just reading your post about how and ablation SHOULD GO, lol
and i sure wish that is how mine went!!!!oh well, now to see if it truly was successful
hugs
maria
ps sorry but i still keep thinking about it!!!
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Avatar universal
I'm going to refrain from telling how I know so much about how it SHOULD have worked!  Would have been better off with P doing it!  Enough said.
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Avatar universal
ok, so don't make you go and think crazy things...i think sunshine also had terrible pain too?
so do you think he LIED to me, that he had to keep me up and not give more meds?
or maybe you shouldn't answer, lol
he said it was because it was complicated and more arrhythmias were there??
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Avatar universal
Ok, what did I do?  I've made you angry and I don't know wny?  please explain so I cd=an try avoid it in the papaer or like las ime wih  my semi-ban>
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Avatar universal
silly girl, i am not mad at you!!! i just need to stop thinking about the actual pain and torture,lol of ablation. i feel like even though there are a very few of us that had pain, everyone else had a good experience and i guess i want to make sure he REALLY couldn't give me more drugs??sorry is that doesnt' make any sense
ps your email is all messed up on bottom line
how are you  feeling??
hugs
maria
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246577 tn?1202737776
I as scared to death before my ablation.  Those few weeks of waiting were shear terror for me.  I was so SCARED.  My procedure took 7.5 hours.  I had AVNRT.  I felt no pain at any point of the procedure: before, during or after.  I was awake, off and on, and could hear the Dr.'s talking.  I could also feel my heart speeding up and slowing down.  It was not that bad at all.  Nothing like I had expected.  The good news, for me...I just had my 3 month return check up and my Dr. said he's 98% sure that I'll have no recurrence of my SVT.  That was music to my ears.  Good luck to you.  
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Avatar universal
Last night I woke up in exreme agony again, some rheumatic and gout flare up.  Whatever it is I was trying to type I have no idea whatsoever except I did get the impression you were angry with me.  I just needed to know that I had not started something like before which almost led to Medhelp banning me for something I did and still don't quite know what it was that caused such offence.

You know what, nobody here has lied about the lack of pain of having an ablation, but I do think it is fair to warn you Clare that it is kinda scary.  It's really not sore and it's over before you know it, you truly will wonder what you were so worried about but when I woke in the middle on the night with my head on the keyboard typing trash, I realised that we've all been honest, but I think that we might add that sometimes parts of the ablation are somewhat unpleasant!

I'd like to add that because I have this incredible tolerance to drugs, it's really hard to keep me sleeping which is why I have such good recollection of the procedure.  I can pretty much remember it all, even the things we spoke about during the procedure, so my situation of not sleeping during the ablation is very different to the norm.  Apparently some people have an extra enzyme in their liver which negates certain drugs and that's why I have this tolerance - the liver enzyme, so don't worry about it, it is not very common.  Maria, it sounds like you have the same thing!  Sorry about last night's post, maybe being in hospital is starting to make me insane!  I'm hoping to go home on Saturday, but the doc is very non-committal and doesn't want to send me home too soon.

Aside from that though, my chest feels much better today, not so wheezy, I'm still on constant oxygen and loads of meds, but all the swelling in my legs and feet have gone down which is a huge relief.  I look almost human again.  I am struggling to walk more than a few meters at a time still, get breathless and tired, but I'm definitely on the mend thankfully.  Just got to get over this arthritis gout thing cause that is the worst pain I have EVER endured.  Luckily the doc has agreed not to withhold the strong meds so at least when it hits I can deal with it!  Thanks for the support and sorry about writing such rubbish, you must think I'm bonkers!

Clare, don't stress about this stuff, it's really not bad.  We each experience something different during and ablation and I'm pretty certain that yours is going to be one of the straight forward ones and you have nothing to worry about,
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Avatar universal
Thank you everyone for all your comments I think I will just have to be really brave and not think about it until I'm there having it done. I will let you all no how I get on. I suppose if the ablation hurts when they are burning the bad stuff I'm sure it wont last too long. I think its just going into the unknown and not knowing what the pain feels like. I'm sure I will find out soon enough. I just hope theres going to be a nurse in there with me that will help me through it and he talks me through it all.
ARGH!! Why does this have to happen to me! :(
Thank you
Clare
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Avatar universal
thinline i feel soooo bad if you thought i was mad at you...sooo sorry, i soooo was not,i know i have to get over my experience, sorry to rehash it but again it is like mild post traumatic stress??
i was thinking same thing thinline but even my cardilogist said the ep should have been me the demerol earlier not just the stupid versed!!!on other hand i have to believe HIM that there were complications and he had to do what he had to do
please feel better, i am soo sorry you are still in hospital, i pray you are getting better!!!

claire not to scare you at all, but yes we all have different experiences, mine and a few others were painful but mostly all others had good experiences, i guess in the end it truly matters is doc is good and you are cured!! i wish you all the best
let us  know!!!
god bless
hugs to all
maria
ps when it was painful claire i did call out to the nurse to help and she did give me some relief, remember her name, lol!!!
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Avatar universal
No don’t feel bad, I was somewhat out of it and I just couldn’t’ make sense of the post, no harm done.  I did not have a great ablation experience, in fact I’ve had 3, and they have all been a bit iffy because of my drug tolerance.  The drugs make me very aggressive and I tend to want to jump up and give the cardio a good smack because he’s so arrogant.

Clare Maria is right, some have good experiences and some don’t. Bit like going to the dentist really, does not bother my husband but getting me into that dental chair takes some heavy handed force.  Once its over I always ask myself what was so bad about it and in all reality, the answer is just fear of the unexpected.  If I had to choose having an ablation and getting root canal treatment – I would go with the ablation!

Also there are quite a few people present in the EP lab and with me in the past one of them has just always sat with me, chatting, joking, and trying to keep my bad behaviour in check.  If you feel anything tell them and they will give you more drugs, they are there to fix you not to harm you.

As far as my health issue goes, I’m STILL in the hospital.  Had another flare up of that gout and now my urea levels are through the roof – I’m terrified of going to sleep tonight in case I wake up in pain again.  Hope I get a good sleep tonight and wake up feeling fresh as a daisy tomorrow.  I’m totally hoping to go home on Saturday, so I’ve really got to get better now.  The meds I’m on have given me a serious dose of the upset stomach and its becoming a nightmare.  I’m up every half hour “to go”, I’ve even bought baby bum wipes because I can’t use normal toilet paper anymore.  Two more days  (that is two pills three times a day) before I can stop the “bog meds”.  Trouble with sleeping and having the runs  - well need I say more???  I do believe your prayers are helping me, cause something sure is.  It amazes me how many people are out there rooting for me.  We may not “know” each other, but being given support by someone who has been through similar things really makes it easier.  So thanks again.

If I wake up tonight and start writing total trash again, just know it’s a pain thing, I’m still (last time I checked) of sound mind.
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Avatar universal
awwww sweetie, big hugs, i feel soooo bad you are having such a hard time, you sooooooooooo need a break!!!
i pray you are resting right now and in no pain, wishing you get well thoughts!!!!!
hugs
maria
ps sorry that i still speak of my experience , thinking about what you are going through i have no right!
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88793 tn?1290227177
OH!!!!  I wrote something very wrong there?  You all know, I'm not a dr.  I am a sufferer of "express train", "garbage truck" and "vibrate" in my chest.  I'm sure, if those things happened in their chests, they want them to go away as well.

I can't tell much about my ablation.  They put me in sleep (GA).  (Thinline, I didn't learn anything in that procedure.  Sorry, I was unable to copy and do what they did on me for you.  LOL.)  When I woke up, the tube still stick in my mouth.  That was horrible.  You all would like to know why the Dr put me in GA?  During the EP study, I was very naughty.

Mine ablation had no pain.  If you have pain, keep asking their "private life", asking for this and that....  I'm sure, they'll put you in sleep!  

I'm here to send my "HUGS" to Thinline and hope you're getting better soon.
I'm here also to send my wish to Clare, hope you have a successful ablation and all the best.  
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