Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 11:22AM |
Registered: 10 months ago Posts: 38 |
Re: Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 11:52AM |
Registered: 4 years ago Posts: 728 |
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SamIAm
One of the things that has freaked me out about getting a thermal ablation (besides risks like Atrio-Esophageal Fistula) is the supposed drop in heart rate variability after the ablation. Supposedly it recovers in 3-6 months, but this article seems to suggest possible permanent impact on autonomic inervation. And given low heart rate variability is a predictor of developing afib in the first place, it seems counterintuitive that a procedure that drops heart rate variability is optimal. Pulsed field ablation doesn't seem to suffer from this. Anyone here have any thoughts on this matter?
Re: Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 12:38PM |
Registered: 10 months ago Posts: 38 |
Re: Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 01:12PM |
Registered: 11 years ago Posts: 4,222 |
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SamIAm
Maybe one disadvantage is that current PFA tools aren't very versatile, where they are just used for PVI, but not for flutter or other troublesome spots....
Re: Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 01:25PM |
Registered: 10 months ago Posts: 38 |
Re: Pulsed Field Ablation better for Autonomic Nervous System? June 17, 2023 02:32PM |
Registered: 4 years ago Posts: 728 |
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SamIAm
That's awesome. This is what I had read elsewhere, that HRV recovers. It's just a bit concerning when the article says "cannot be interpreted as restoration of left atrial autonomic innervation back to the preablation baseline".