Catheter ablation for persistent afib/aflutter

Here I am again. Since June 17 I have been in asymptomatic Afib/AFlutter.. I thought I had a plan and found a top EP who said he would do a redo PVAI on me. He has my medical records, so should know I am persistent. My problem has always been high heart rates . I was told it was ok if my rates stayed under 110. Sometimes they are higher than that even though my rate control meds have been increased. So, when I read statements like this, “Catheter ablation of persistent atrial fibrillation (AF) has limited success.”, I am wondering why I am planning on having a third ablation. I am second guessing the plan I thought I had. If the ablation has limited effects and rate control has not kept my rates under 110, I am wondering where I go from here.

A successful ablation will eliminate your high heart rate without the need for meds, but being persistent means it's going to involve more than repeating a simple PVI. And that means the EP has to be among a small handful in this country who routinely ablate persistent afib successfully. Without question it will reduce your heart rate back to normal.