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Medical Forum / General / Cardiology / December 2006AV node ablation
My mother is a 68 y/o WF with chronic AF. She had it under control for 10 years using Pacerone until a biopsy of her liver showed sclerosis. Then she was put on Betapace and Cardizem which are both maxed out and she is still having AF. She was recently hospitalized for stent placement and pacemaker. Now they want to do a AV node ablation. I'm not sure this is what she needs. Of course the Dr's want to do this and she's ready for anything that will stop her from feeling so bad during an episode. I've researched this and I'm not sure I want her to have it done. The short term risks are low, but has it been done long enough to know what the long term risks are. Such as ventricle damage, CHF, or sudden death. Has there been enough of these procedures done to know what the long term risks are? I wonder why they aren't trying Digoxin and Pacerone again. Her liver enzymes are in normal range and she takes Milk thistle which I credit for the return to normal. I guess my main concern is the ablation and long term effects. Any help here would be great. She's scheduled for 12/27/06. Please help. Thanks > My mother is a 68 y/o WF with chronic AF. She had it under control for 10 > years using Pacerone until a biopsy of her liver showed sclerosis. Then she [quoted text clipped - 5 lines] > not sure I want her to have it done. The short term risks are low, but has it > been done long enough to know what the long term risks are. Yes it has been. > Such as > ventricle damage, CHF, or sudden death. Ablating the AV node does not cause either ventricle damage, CHF, or sudden death. > Has there been enough of these > procedures done to know what the long term risks are? Yes, enough AV node ablations have been done. > I wonder why they > aren't trying Digoxin and Pacerone again. You have written that your mom has been having adverse reactions to her medications. > Her liver enzymes are in normal > range and she takes Milk thistle which I credit for the return to normal. Others would credit this to stopping the Pacerone. > I > guess my main concern is the ablation and long term effects. Any help here > would be great. She's scheduled for 12/27/06. Please help. Thanks You are welcome. All thanks and praises belong to GOD, whom I love with all my heart, soul, mind, and strength: http://HeartMDPhD.com/HolySpirit/love.asp May GOD continue to heal our hearts with HIS living water so that we can love our neighbors a little more and LORD Jesus Christ a lot more, dear neighbor whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love >> My mother is a 68 y/o WF with chronic AF. She had it under control for 10 >> years using Pacerone until a biopsy of her liver showed sclerosis. Then she [quoted text clipped - 53 lines] >(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). >http://HeartMDPhD.com/Love Thanks so much for the help. She decided to cancel the AV node ablation for now and continue with the Betapace and Cardizem. She wants to see if maybe she just hasn't given the meds enough time. As of today she has gone 7 days without an attack, which is great for her as she was having them every other day. I just wanted to ask you is there were any long term side effects to being on Betapace and Cardizem? And do you think eventually the meds will wear off and she will have to have the ablation anyway. Thanks again for your excellent help. > Andrew wrote: > >> My mother is a 68 y/o WF with chronic AF. She had it under control for 10 > >> years using Pacerone until a biopsy of her liver showed sclerosis. Then she [quoted text clipped - 42 lines] > > Thanks so much for the help. You are welcome to the information. GOD's purpose for me here remains to inform. All thanks and praises belong to my heavenly Father, Whom I love with all my heart, soul, mind, and strength. > She decided to cancel the AV node ablation for > now and continue with the Betapace and Cardizem. She wants to see if maybe > she just hasn't given the meds enough time. As of today she has gone 7 days > without an attack, which is great for her as she was having them every other > day. I just wanted to ask you is there were any long term side effects to > being on Betapace and Cardizem? None that would be anticipated. > And do you think eventually the meds will > wear off and she will have to have the ablation anyway. Typically these medications will have to be increased if there is weight gain and/or other changes that decrease their serum half-life. > Thanks again for your excellent help. Again, would redirect your thanks and praises upward to my heavenly Father, Who is the Source of all blessings: http://MabletonGA.OurLittle.net/Guarantee May GOD continue to heal our hearts with HIS living water so that we can love our neighbors a little more and LORD Jesus Christ a lot more, dear neighbor whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://HeartMDPhD.com/Love |
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