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How Safe Is Undergoing RF Catheter Ablation?
Dear Doctor, I am a RHD patient with MS and Mild MR which was found in Dec 1993. I have undergone PTMC in Jan 2000. My Mitral Valve size at present is about 1.7 sq cm. Now I have AF from Nov 2005. I have suffered a Stroke in Jun 2007, to my luck I was administered with Thrombalin, subsequently I have recovered. After that I was advised to take acetrom, But due to increrse in acetrom, I have suffered cerebral hamerrage in Jun 2008. After that I have stopped acetrom. But my ECG has AF. At present I am taking Cordarone 200 mg, once a day, Digoxin 5/7, Clopilet 75 mg once a day with Penidure 12 Lac once in 3 weeks. I want to get rid of the AF now. Can I undergo RF Catheter Ablation once. Will AF will reoccur. Please guide me. Since I have suffered both (Stroke and Cerebral hamerrage) I want to live with out the AF.
Mon, 17 Feb 2014
hello I fully understand your concern.
-first of all you should understand about AF in RHD. then I will explain what to expect
-in RHD with MS and MR there is dilatation of left atrium. again this dilated atrium shows changes in its microscopic structure. this combination of enlargement and structural change produces atrial fibrillation.
-in you case since the AF is present from 2005, you are in permanent AF
-permanent AF usually has very poor response to therapies which aim to restore normal rhythm
-RF ablation is unlikely to produce long-term normalization of rhythm in dilated left atrium. many patients of AF require multiple sessions of RF ablation.
-you can consult a cardiac electro-physiologist. meanwhile continue the treatment as advised.
thanks
-first of all you should understand about AF in RHD. then I will explain what to expect
-in RHD with MS and MR there is dilatation of left atrium. again this dilated atrium shows changes in its microscopic structure. this combination of enlargement and structural change produces atrial fibrillation.
-in you case since the AF is present from 2005, you are in permanent AF
-permanent AF usually has very poor response to therapies which aim to restore normal rhythm
-RF ablation is unlikely to produce long-term normalization of rhythm in dilated left atrium. many patients of AF require multiple sessions of RF ablation.
-you can consult a cardiac electro-physiologist. meanwhile continue the treatment as advised.
thanks
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