Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease Community
This patient support community is for discussions relating to angina, angioplasty, arrhythmia, bypass surgery, cardiomyopathy, coronary artery disease, defibrillator, heart attack, heart disease, high blood pressure, mitral valve, pacemaker, PAD, stenosis, and stress tests.
Unsuccessful Ablation
by chel34, Feb 05, 2008 09:20PM
My ablation (1/23/08) to hopefully rid me of suspected AVNRT was unsuccessful due to the problem current originating within 1mm (according to my EP cardiologist doing the procedure) of my AV node. Apparently a risk of the procedure by only 2-10% of cases, depending on which article you read. The procedure itself was not that unpleasant for those of you considering it. I chose ahead of time not to proceed if found to be risky because damaging the AV node would mean a pacemaker for me. I am 34 and mother of two young boys and a pediatric OT who NEEDS to stay active!
Now I got the results from a recent ECG (11/27/07) and ECHO (12/18/07)...
ECG -
borderline R wave progression, anterior leads R<.15mV V3-V6
and more concerning ECHO -
moderate left ventricular systolic dysfunction with ejection fraction 40-45%
dilated and mildly hypokinetic right ventricle
mild bileaflet mitral valve prolapse with trace regurgitation
Now the two big questions since you have the history... since the ablation was unsuccessful I've started a new drug, Flecainide. The first few days were icky, I was on too high a dose and felt tired, dizzy, and not myself. A decrease in the dose has proved effective in controlling my palpitations and racing beats, but here is my concern. Flecainide works by blocking sodium channels thereby decreasing overall ventricular contractility. Given my decreased EF already, would Flecainide make it worse? Does anyone think my ECHO results speak of something more than a rhythm problem, i.e. sclerosis, etc? Any input is appreciated. Thanks!
Now I got the results from a recent ECG (11/27/07) and ECHO (12/18/07)...
ECG -
borderline R wave progression, anterior leads R<.15mV V3-V6
and more concerning ECHO -
moderate left ventricular systolic dysfunction with ejection fraction 40-45%
dilated and mildly hypokinetic right ventricle
mild bileaflet mitral valve prolapse with trace regurgitation
Now the two big questions since you have the history... since the ablation was unsuccessful I've started a new drug, Flecainide. The first few days were icky, I was on too high a dose and felt tired, dizzy, and not myself. A decrease in the dose has proved effective in controlling my palpitations and racing beats, but here is my concern. Flecainide works by blocking sodium channels thereby decreasing overall ventricular contractility. Given my decreased EF already, would Flecainide make it worse? Does anyone think my ECHO results speak of something more than a rhythm problem, i.e. sclerosis, etc? Any input is appreciated. Thanks!
Post Comment
