Afibs again 5 months after 1st ablation March 21, 2023 04:40AM |
Registered: 1 year ago Posts: 5 |
Re: Afibs again 5 months after 1st ablation March 21, 2023 08:07AM |
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Re: Afibs again 5 months after 1st ablation March 22, 2023 03:01AM |
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Re: Afibs again 5 months after 1st ablation March 22, 2023 09:13PM |
Registered: 1 year ago Posts: 152 |
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gloaming
I hope your care-givers made sure you understood that a first ablation only has about a 75% success rate, and my EP claimed it was closer to 70%. Subsequent ablations enjoy about 80% success rate.
Re: Afibs again 5 months after 1st ablation March 22, 2023 09:24PM |
Admin Registered: 6 years ago Posts: 5,343 |
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Yuxi
Gloaming, how is "success rate" defined?
Re: Afibs again 5 months after 1st ablation March 22, 2023 09:39PM |
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Re: Afibs again 5 months after 1st ablation March 23, 2023 03:10AM |
Registered: 1 year ago Posts: 5 |
Quote
gloaming
Generally, yes, and it's quite unlucky. However, I hope your care-givers made sure you understood that a first ablation only has about a 75% success rate, and my EP claimed it was closer to 70%. Subsequent ablations enjoy about 80% success rate. Of course, this varies between EPs whose skill isn't the same from person-to-person.
The general empirical trend is as follows: most of us have some unsettled heart rhythm in the two months following an ablation. However, those who have the odd hiccup in the first three or four weeks, and who then enter a quite phase and on until the first year has lapsed, do better than those whose hearts behave in the first three to six weeks, and who then begin to experience some arrhythmia episodes after the 'blanking period' has expired. It seem that you must be in the latter case. I was there as well, and there are many others who post here at least infrequently if not regularly.
Alcohol is widely condemned in this community as a trigger. It might not be for everyone, but enough people swear that even small amounts set their hearts off that it's sort of an accepted wisdom to just say no. There is very little evidence that caffeine is a trigger, but again, some swear that even a whiff of coffee sets them off.
There are other triggers: worry, anxiety, financial woes, relationship problems, obesity and stomach distension (such as eating too much), poor sleep, excessive exercise, hypokalemia (low potassium levels), even disorders and diseases that raise inflammation.
Others might have differing opinions about this, but an ablation is meant to stem the distribution around the endothelium inside the atrial wall. The idea is that ablated tissue simply won't propagate or pass on the unwanted electrical stimuli. If you have had an ablation, and any time during the next 12 months you get arrhythmia, your ablation has not completely blocked the paths of the spurious signals. You may indeed have a whack of healed lesions and scarring left from the first effort, but it has not formed an effective stockade or dam around the point where the signals enter the atrium and spread around it. Somewhere, there is a gap. A skilled EP will find it and seal it off on a second go.
Re: Afibs again 5 months after 1st ablation March 24, 2023 11:00AM |
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Re: Afibs again 5 months after 1st ablation March 27, 2023 05:26AM |
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Re: Afibs again 5 months after 1st ablation March 27, 2023 02:04PM |
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Re: Afibs again 5 months after 1st ablation March 27, 2023 03:12PM |
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Re: Afibs again 5 months after 1st ablation March 27, 2023 03:42PM |
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