When is catheter ablation necessary




















You will likely continue to have symptoms of atrial fibrillation. Heart rhythm medicines may increase your risk of getting a more serious heart rate problem.

You will need frequent checkups so your doctor can watch you closely while you take these medicines. If you also have heart disease, your risk of serious side effects from these medicines may be higher.

Personal stories about considering catheter ablation These stories are based on information gathered from health professionals and consumers. What matters most to you? Reasons to have catheter ablation Reasons not to have catheter ablation. I'm not worried about having a procedure that involves my heart.

The side effects of my heart medicines are bothering me a lot. The medicine side effects don't bother me that much. I'm bothered a lot by my heart rhythm symptoms. My symptoms don't bother me. My quality of life is pretty good. My other important reasons: My other important reasons:. Where are you leaning now? Having catheter ablation Not having catheter ablation. What else do you need to make your decision? Check the facts. Yes Sorry, that's not right. Catheter ablation helps many people who have atrial fibrillation.

It works best for younger people who have paroxysmal atrial fibrillation and little or no structural heart disease. No You're right. I'm not sure It may help to go back and read "Get the Facts. Yes That's correct.

Experts don't know if ablation lowers your risk of stroke. If a person takes a blood thinner before having an ablation, they will continue to take it to lower their risk of stroke.. No Sorry, that's not right. If a person takes a blood thinner before having an ablation, they will continue to take it to lower their risk of stroke.

Yes That's right. You may need to have it done a second time. No Sorry, that's not correct. If the first ablation doesn't get rid of the problem completely, you may need to have it done a second time.

I'm not sure. It may help to go back and read "Get the Facts. Decide what's next. Yes No. I'm ready to take action. I want to discuss the options with others. I want to learn more about my options. Your Summary. Your decision Next steps. Your knowledge of the facts Key concepts that you understood. Key concepts that may need review.

Getting ready to act Patient choices. What matters to you. Print Summary. Credits and References Credits. January CT, et al. Circulation, published online March 28, DOI: Accessed April 18, Calkins H, et al.

Heart Rhythm, 9 4 : — Tedrow UB, et al. Electrophysiology and catheter-ablative techniques. In V Fuster et al. New York: McGraw-Hill. Cappato R, et al. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circulation: Arrhythmia and Electrophysiology, 3 1 : 32— Agency for Healthcare Research and Quality You might also notice skipped heartbeats or irregular heart rhythms. Most people can return to their normal activities within a few days.

Contact your doctor immediately if you have unusual pain or swelling, excessive bleeding or consistent irregularities in your heartbeat. Depending on the type of arrhythmia being treated, catheter ablation can have a success rate of more than 90 percent, but some people may need to have the procedure again or other treatments for heart arrhythmias. Your doctor may want you to remain on medications to help control your heartbeat.

After the catheter ablation, be sure to follow all instructions from your doctor, especially regarding follow-up visits, medication schedules and safe levels of physical activity. Health Home Treatments, Tests and Therapies. Catheter Ablation Share on Facebook Share on Twitter Share on Linkedin Share on Pinterest Share via Email Print this Page Cardiovascular If you have been diagnosed with a heart arrhythmia — a problem with the rate or rhythm of your heartbeat — your doctor may recommend a procedure called catheter ablation to improve your condition.

Facts About Catheter Ablation Also known as a cardiac ablation or radiofrequency ablation, this procedure guides a tube into your heart to destroy small areas of tissue that may be causing your abnormal heartbeat. Understand Your Risk for Arrhythmia. Symptoms, Diagnosis and Monitoring of Arrhythmia. Prevention and Treatment. Arrhythmia Tools and Resources. Quick facts Catheter ablation is used to treat abnormal heart rhythms arrhythmias when medicines are not tolerated or effective.

Medicines help to control the abnormal heart tissue that causes arrhythmias. Catheter ablation destroys the tissue. Catheter ablation is a low-risk procedure that is successful in most people who have it. This procedure takes place in a special hospital room called an electrophysiology EP lab or a cardiac catheterization cath lab. It takes 2 to 4 hours. Why do people have catheter ablation? What are the risks of catheter ablation? How should I prepare for catheter ablation?

Your doctor will tell you what to eat and drink during the 24 hours before the test. Tell your doctor about any medicines you take. He or she may ask you not to take them before your test.

Leave all your jewelry at home. Arrange for someone to drive you home after your procedure. What happens during catheter ablation?

A nurse will put an IV intravenous line into a vein in your arm so you can get medicine anesthesia to prevent pain. You may also get a medicine sedative to help you relax but you will be awake throughout the procedure. The nurse will clean and shave the area where the doctor will be working.

This is usually in your groin. The entire ablation procedure takes hours to perform, including the time needed to prepare for the procedure and to remove the catheters from the body. You will be made as comfortable as possible, but you will not be under general anesthesia. You will be in what is considered "twilight sleep" and you will be dozing off and on. You probably won't remember much from the procedure.

The procedure always requires an overnight stay. You will not be able to drive for 24 hours. You should also not lift, push or pull anything more than 10 pounds for 3 days following the procedure.

Many patients experience occasional episodes of atrial fibrillation during the first three months after left atrial catheter ablation even though they continue to take medications.

This is because it may take three months for the scars to develop and the procedure to take full effect.



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