Is there more risk when doing an ablation on an elderly patient? This is an 89yr old male but no idea what type of AFib we are dealing with here. https://www.afibbers.org/forum/read.php?9,157714,157714#msg-157714 Tue, 07 Apr 2026 10:50:41 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,157714,158016#msg-158016 https://www.afibbers.org/forum/read.php?9,157714,158016#msg-158016 NickC AFIBBERS FORUM Sun, 16 Jul 2017 14:34:37 +0000 https://www.afibbers.org/forum/read.php?9,157714,157853#msg-157853 https://www.afibbers.org/forum/read.php?9,157714,157853#msg-157853
There are three basic types:

1. Paroxysmal AFIB (PAF) typically early to advanced stages in which the AFIb starts and stops on its own without intervention, typically, within 7 days of onset of an episode.

2. Persistent AFIB (PersAF) When unbroken 24/7 AFIB lasts for 7 full days or longer up to 1 year unbroken duration.

3. Long-Standing Persistent AFIB (LSPAF) is 24/7 persistent AF lasting a full 365 days and longer to indefinite.

*4. Permanent AF - I put an asterisk beside this dubious label that used to be used more when there really was nothing much we could do for LSPAF patients but park them in a rare control cocktail to prevent cardiomyopathy from happening too soon and in life long blood thinner so hopefully the patient does not stroke out on the EP or Cardios watch while in essence what they are doing is pushing the 'dead-ender' LSPAF patients out on the ice flows with the elderly eskimos! Not a very good solution to be sure!

Now elite level persistent and LSPAF EPs can offer far better solutions for these most challenging cases of progressive AFIB and, as such, the term Permanent AFIB is not often used any longer, certainly not by more up-to-date ablation experts. Besides it was always more of a term of surrender in NOT being able to fundamentally improve the heart health of patients via either freedom from all arrhythmia or greatly deduced AF/AT burden.

Shannon]]> Shannon AFIBBERS FORUM Mon, 03 Jul 2017 06:53:27 +0000 https://www.afibbers.org/forum/read.php?9,157714,157772#msg-157772 https://www.afibbers.org/forum/read.php?9,157714,157772#msg-157772 NickC AFIBBERS FORUM Tue, 27 Jun 2017 15:00:58 +0000 https://www.afibbers.org/forum/read.php?9,157714,157716#msg-157716 https://www.afibbers.org/forum/read.php?9,157714,157716#msg-157716
Many people have had successful ablations even into their early 90s, but the decision and recommendation depends on the patient's overall health status and the nature of any co-morbidities and other such issues that might impact the joint decision between EP and patient who is in their upper 80s range.

It is best to see a highly experienced ablationist who has done many such octogenarian AFIB ablation cases, and work with them and the patient to come to the best individualized decision in each unique case.

Cheers!

Shannon]]> Shannon AFIBBERS FORUM Tue, 20 Jun 2017 08:00:53 +0000 https://www.afibbers.org/forum/read.php?9,157714,157714#msg-157714 https://www.afibbers.org/forum/read.php?9,157714,157714#msg-157714
This is an 89yr old male but no idea what type of AFib we are dealing with here.]]> NickC AFIBBERS FORUM Mon, 19 Jun 2017 19:39:37 +0000