Heart Rhythm Community
ablation vrs pacemaker
About This Community:

Join others experiencing Heart Rhythm issues. Ask a question, join a conversation, share experiences: symptoms, management, and treatment.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

ablation vrs pacemaker

My 79 yr old father had a stent placed in 2003 for a 90% LAD occlusion, he developed AFib 2 years later and has been poorly rate controlled since that time.  He has been cardioverted once and had his med dosages toyed with.  He is very practical and strong willed, was told he had high cholesterol 20 years ago and cut out cheese and butter just like that and has maintained healthy eating habits, no smoking, and is very active..works out at the Y 3x a week and has a 6 pack, ie he is fit!!  Meds are coumadin, metoprolol, atorvastin and ASA.  Today he had a significant TIA, symptoms took 6+ hours to resolve (right facial droop, slurred speech, word salad and right hand"clumsiness") was treated in ED with LMWH and increase in coumadin dose (INR 1.6).  His cardiologist had previously stated he was a poor risk for ablation and would insert a pacemaker instead, although he also has let him remain in AFib for 2 + years! I'm an ER nurse and don't understand the rationale behind that and would like to know which procedure would be more appropriate or if there are any other options. Thank you Ann C.
Related Discussions
2 Comments Post a Comment
Blank
612551 tn?1450025775
I do not know of any reason to apply a pacemaker for the treatment of AFib unless it is accompanied by bradycardia (Not sure that is possible).  A pacemaker is used to stimulate more heartbeats, not cancel some out... that's my understanding, if wrong I hope someone will correct me.

I too am in "rate control" (I take both a beta blocker and a calcium channel blocker) and "blood clot mitigation" (take warfarin with a target INR of 2 to 3).  I have been in permanent AFib since late 2007 and my symptoms are mild.  Both my cardiologist and the consulting EP say an Ablation has a low probability of success, and it does entail risks, so they will not do that procedure on me.  I'm sure I can find a doctor that will, but I have decided to live with the AFib.  I'm just a bit younger than your father, I am 71 and the only 6-pack I have is one I buy at the beer story.  I don't drink it all at once :)  

The above said, I admit I don't know what a "significant TIA" is, maybe others would also benefit from an explanation.   As for the symptom list you provided I do not relate them to AFib either.  

Hope you get some more helpful inputs.
Blank
1137980 tn?1281289046
I kind of have the same question as Jerry does of why implant a pacemaker?  As he said and i am sure you are aware PM's main duty is for people with bradycardia.....and in having a TIA as severe as he had and being on all of the blood thinners something is just a little off here to me .....so did he throw a clot or is there an issue with plaque in his arteries?  I don't know if i agree as to leaving your dad in permanent a fib was such a great idea at his advanced age.....but the doc seems to have put him on all of the meds that would have prevented a TIA so i am wondering where the source of this came from...as far as tossing in my opinion of which way i would go personally i would say the ablation if the source is the atrial fib and where i would lead him if he were my dad.  Ablations are no brainers however the doc probably has a reason for shying away from it but to me my question was could the TIA have been avoided thru the procedure?  Good luck
Blank
Post a Comment
To
Top Arrhythmias Answerers
612551 tn?1450025775
Blank
Jerry_NJ
NJ
1807132 tn?1318747197
Blank
MichelleP_3811
Chicago, IL
1423357 tn?1414258965
Blank
tom_h
Central, MA
995271 tn?1463927859
Blank
itdood
PA
Avatar f tn
Blank
CFS56
11548417 tn?1440481484
Blank
Ger57
Netherlands
Recent Activity
506791 tn?1439846583
Blank
There is Hope.
1 hr ago by Piparskeggr
1236893 tn?1408490528
Blank
50-Year Cover-Up
5 hrs ago by gymdandee
Avatar m tn
Blank
Joel78 is frustrated, aching, tire... Comment
May 26
Heart Rhythm Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
05/15 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1463449675
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Arrhythmias Answerers
612551 tn?1450025775
Blank
Jerry_NJ
NJ
1807132 tn?1318747197
Blank
MichelleP_3811
Chicago, IL
1423357 tn?1414258965
Blank
tom_h
Central, MA
995271 tn?1463927859
Blank
itdood
PA
Avatar f tn
Blank
CFS56
11548417 tn?1440481484
Blank
Ger57
Netherlands