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Medical Forum / General / Cardiology / December 2005

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Afib and ablation

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Uplbet - 27 Dec 2005 21:24 GMT
Two weeks ago I underwent RF catheter ablation of paroxysmal Afib.
My EP predicted I "might" have arrhythmias episodes for up to 2 month
following the procedure.
Back home, I have since then experienced as many as six episodes of
little symptomatic, but perceptible, afib-like arrhythmia lasting
quite long, i.e. from 12 up to 24 hours.
All in all, I'd say that so far I've been doing worse than before the
ablation   :-(
Should I worry?

Thank you in advance and best wishes to all of you!  
Larry - 27 Dec 2005 21:39 GMT
> Two weeks ago I underwent RF catheter ablation of paroxysmal Afib.
> My EP predicted I "might" have arrhythmias episodes for up to 2 month
[quoted text clipped - 7 lines]
>
> Thank you in advance and best wishes to all of you!  
I don't know, but my Dad had this procedure and had no episodes
immediately after the procedure lasting for years afterwards.

Larry E.
William Wagner - 27 Dec 2005 21:42 GMT
> Two weeks ago I underwent RF catheter ablation of paroxysmal Afib.
> My EP predicted I "might" have arrhythmias episodes for up to 2 month
[quoted text clipped - 7 lines]
>
> Thank you in advance and best wishes to all of you!  

>Should I worry ?

I'd  imagine that every thing is great.
Small afib's just a heads up to take better care.

I can't tell you anything as I'm like you.

Still worry takes away from your present moment.

Please enjoy it and be aware that extended family is effected in subtle
ways too.  Scares everyone !

My experience.

Bill

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listener - 28 Dec 2005 05:27 GMT
Uplbet <nospam@nospam.it> wrote in news:64c3r19g6qs9bvvcq4ks907e8eqibc5eoa@
4ax.com:

> Two weeks ago I underwent RF catheter ablation of paroxysmal Afib.
> My EP predicted I "might" have arrhythmias episodes for up to 2 month
[quoted text clipped - 7 lines]
>
> Thank you in advance and best wishes to all of you!  

You should try not to worry. I've heard that it can sometimes take a few
months, post-op, for the heart to settle down.

L.
Erskine James - 29 Dec 2005 04:29 GMT
One question, Uplbet, -- what percentage cure rate did your doctor
quote you for the RF catheter ablation of Afib??

Here is the Cleveland Clinic's own description of the cure rate for
Afib ablation.

How successful is PVAI in treating atrial fibrillation?

Success rates for PVAI are defined as restoring a patient's normal
sinus rhythm while not being dependent on medications to control the
heart rhythm. Pulmonary vein isolation has an 80 to 85 percent success
rate with the first ablation. For those who have returned for further
ablation, the success rate has been 95 percent.
Uplbet - 29 Dec 2005 14:15 GMT
Il 28 Dec 2005 20:29:09 -0800, "Erskine James" <erskinej@gmail.com> ha
scritto:

>One question, Uplbet, -- what percentage cure rate did your doctor
>quote you for the RF catheter ablation of Afib??

my ablation was performed in the arrhythmology unit lead by Dr. Carlo
Pappone at the San Raffaele University Hospital of Milan, Italy.

They claim 92% success for paroxysmal afib (my case), 85% for
permanent afib.

They applied the PVI technique used by Pappone in Milan, technique
named "anatomically based circumferential PV ablation."
By the way, that technique was described at the Boston A-Fib Symposium
in January 2003
http://www.a-fib.com/BostonA-FibSymposium2003.htm

Regards and best wishes    
Erskine James - 29 Dec 2005 20:58 GMT
Uplbet,

>From that website you show directed me to, Pappone there quoted 87%
success rate--and about equal for PAF and chronic afib. --- Dr.
Pappone's success rate for patients monitored over a three year
period was 87%. He had approximately equal success with both Paroxysmal
(occasional) and Chronic (all the time) A-Fib.

These numbers are fairly similar to Cleveland Clinic. So if he does 100
patients, then 13 of them will not be cured with the procedure. You
might be in that group. I do not have your telemetry with me, but that
is quite conceivable.
Uplbet - 29 Dec 2005 21:26 GMT
Il 29 Dec 2005 12:58:44 -0800, "Erskine James" <erskinej@gmail.com> ha
scritto:

>These numbers are fairly similar to Cleveland Clinic. So if he does 100
>patients, then 13 of them will not be cured with the procedure. You
>might be in that group. I do not have your telemetry with me, but that
>is quite conceivable.

I'd say that is quite logical and understandable   :-(

My key question now is: would two "troublesome" post-op weeks be
indicative of a likely unsuccessful procedure, or should that rather
be considered as an almost normal post-op evolution?

You know, they did tell me (in writing) that I could experience
various forms of arrhythmia in the post-op two months timeframe ...  

Thank you
Erskine James - 30 Dec 2005 00:37 GMT
Without seeing the telemetry, I would be purely guessing. It can be
either.
Andrew B. Chung, MD/PhD - 30 Dec 2005 12:21 GMT
> Il 29 Dec 2005 12:58:44 -0800, "Erskine James" <erskinej@gmail.com> ha
> scritto:
[quoted text clipped - 9 lines]
> indicative of a likely unsuccessful procedure, or should that rather
> be considered as an almost normal post-op evolution?

More paroxysmal atrial fibrillation **after** a procedure would suggest
a failed procedure.

> You know, they did tell me (in writing) that I could experience
> various forms of arrhythmia in the post-op two months timeframe ...

They would have rathered you did not.

> Thank you

You are welcome.  All praises belong to the LORD, Whom I love with all
my heart, soul, mind, and strength :-))

Would be more than happy to "glow" and chat about this and other things
like cardiology, diabetes and nutrition that interest those following
this thread here during the next on-line chat (01/05/06) from 6 to 7 pm
EST:

http://tinyurl.com/cpayh

For those who are put off by the signature, my advance apologies for
how the LORD has reshaped me:

http://tinyurl.com/bgfqt

Prayerfully in Christ's love,

Andrew
http://tinyurl.com/b6xwk
Uplbet - 30 Dec 2005 14:03 GMT
Il Thu, 29 Dec 2005 22:26:01 +0100, Uplbet <nospam@nospam.it> ha
scritto:

>[...]

first of all, my thanks to James and Andrew.

Perhaps I should better have my implanted double chamber pacemaker
controlled by my EP around mid January, in order to understand (from
the PM tracking history log) how my heart has actually been doing
during the after-ablation four weeks period.
Do you think that is a good idea?

Regards and Happy New Year
 
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