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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can I Have Av Node Ablated And Be Fitted With A Permanent Pacemaker?

i had an ablation for multifocal pathways psvt.After 11 months it started again and i have been to the er 4 times for cardioversion with adenosine.I w as on dilzem 180.Now the doctor has added cordarone 400mg .He feels another ablation will not help.I know how toxic cordarone can be.Can I have my av node ablated and be fitted with a permanent pacemaker? What are your suggestions? Thank you for hearing me out
Wed, 3 Feb 2016
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Pulmonologist,  's  Response
Thanks for your question on Health Care Magic.
I can understand your concern.
In my opinion, you should first get done repeat EP (electro physiological) study to determine the accessory pathways.
If this is same as previously then no need for ablation and pacemaker.
Cordarone is good drug to control arrhythmia.
And don't worry much about side effects. These side effects can be easily managed.
If your EP study is worse then the previous study, you need AV node ablation and pacemaker.
So first get done fresh EP study and then decide future plan of treatment.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Can I Have Av Node Ablated And Be Fitted With A Permanent Pacemaker?

Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you should first get done repeat EP (electro physiological) study to determine the accessory pathways. If this is same as previously then no need for ablation and pacemaker. Cordarone is good drug to control arrhythmia. And don t worry much about side effects. These side effects can be easily managed. If your EP study is worse then the previous study, you need AV node ablation and pacemaker. So first get done fresh EP study and then decide future plan of treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.