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Advice Please - PVCs and Ablation

Hi Everyone,

So - constant PVCs/PACs since having my daughter 14 years ago. Every test in the book done - always normal. Cardiac MRI, ECGs, Holters, Stress tests, blood work...
I do have Hashimotos and Hypothyroidism which seems to be controlled.

My EP wants to do an EP study with Ablation next week, but I am TERRIFIED, and really not sold on the procedure.

I am having approximately 20,000 PVCs/day, and I feel that they are getting way more symptomatic.

Questions - do any of you have PVCs that have changed, quality wise, where they make you feel faint?
My cardiac MRI was done without contrast, and came back normal and no evidence of ARVD. Does it matter that it was done without contrast? They did not order contrast for whatever reason...

Have any of you lived for years and years without getting the ablation done? I am not that cool with it, I am 35 female, healthy (except for this crap_.

Any insight would be amazing. Thank you!
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20748650 tn?1521032211
Also, i almost forgot.. In terms of living years and years without an ablation. Yes, absolutely youll live years and years.

However with 20,000 uncontrolled pvc's per day.. You may develop heart failure later in life, especially as you age and the amount of pvcs grows.

If you dont get the ablation you could be cutting your life short for no reason.

You have a choice between a procedure that carries a less then 1% danger to your life vs a condition that carries probably a 50% chance of reducing your lifespan by a decade.

To put it into perspective youre more likely to be killed in a car accident driving to work then you are to have something really bad happen in that lab.
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20748650 tn?1521032211
In terms of contrast:

Contrast is used in mri to assess perfusion. It looks for blockages in arteries and assesses your risk for a heart attack.

Avrd has nothing to do with perfusion. Therefore no contrast no problem.

As for ablations, they are very safe as far as procedures goes. As someone involved in the performance of ablations and patient followups post ablation, as well as an individual whos familiar with the statistics i can assure you.. These procedures are safe.

Risk of complication ranges from 4% - 10%, with the overwhelming majority of these complications being related to access site bleeding (the place in the groin getting a big ole bruise)

Risk of serious complication or death are both well under 1%.

I have, thus far in my career seen not a single patient in person whos suffered any type of long term health issue because of an ablation.

I have never in my career thus far seen someone crash on the table in the ep lab.

The only electrophysiology patients ive ever seen go downhill in the procedure were pacemaker patients, not ablation patients, and they technically went downhill in the cath lab. Among these patients that went downhill during pacemaker implantation, 100% were high risk and already inpatients within the intensive care unit. None were healthy 35 year old outpatients.
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