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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Old Aged, Advised Ablation For Ventricular Tachycardia. Heart Weak. Should I Undergo Procedure?

hi..my doc wants to perform ablation for ventricular tachycardia..my heart is already weak from 4 heart attacks..triple bypass,,mitral valve surgery and alot of stints..my ijection fraction is around 30 i think..i am 53 years old but my doc said i have the heart of a 70 year old man..i am scared that my heart cannot stand the stress of this procedure..am i at incresed odds from dying during the procedure or are the odds still in my favor..thank you
Wed, 31 Jul 2013
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General & Family Physician 's  Response
Hi and thanks for the query,

I really do suggest it might be an increased unnecessary risk under taking the procedure. My suggestion is consulting a good cardiologist - rhythmologist for an advanced clinical assessment and other options. The action after the procedure is not well guarantied. I suggest a more conservative approach, but you might need to consult a cardiac rhythm specialist. Thanks and kind regards.

Bain LE, MD.

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Anesthesiologist Dr. Manjeth Kumar G's  Response
Hello,
Welcome to Healthcaremagic.
Catheter ablation is now widely used for the treatment of ventricular fibrillation.
Ablation is preferred in patient for whom medication is intolerable, ineffective.

The success rate of ablation varies in persons with Ventricular tachycardia

Only VT and no other abnormality- 90%
Vt with structural heart disease or scar from surgery - 50 to 75%

Since you have Ventricular tachycardia and previous bypass, Valve surgery, you are at great risk of Ventricular fibrillation.

Ventricular fibrillation is life threatening disease.
So it is essential to avoid Ventricular fibrillation.

Hope this Helps.
Take care.

Regards,
Dr.Manjeth.

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Old Aged, Advised Ablation For Ventricular Tachycardia. Heart Weak. Should I Undergo Procedure?

Hi and thanks for the query, I really do suggest it might be an increased unnecessary risk under taking the procedure. My suggestion is consulting a good cardiologist - rhythmologist for an advanced clinical assessment and other options. The action after the procedure is not well guarantied. I suggest a more conservative approach, but you might need to consult a cardiac rhythm specialist. Thanks and kind regards. Bain LE, MD.