I had an ablation and a pacemaker inserted 6 weeks ago. Heart is in perfect rhythm now. Exercising for 70 minutes on bike and elliptical not even breathing hard as a fit 75 year old. Dr said I will not need another ablation. Pacemaker was inserted to fire when heart rate goes to 50 which it rarely does. My pulse is 64-68 mainly at rest
I had an ablation 3 days ago after about 18 months of constant AFIB, on multac, then amorodione, and 2 failed cardioversions. The ablation was successful so far, normal sinus rhythm and resting HR of 65 BPM. I'm half way through this video and glad I did not see this video beforehand, as I would have been convinced my ablation would fail. If my AFIB returns, I will consider mini-maze or what is being called hybrid ablation, that is performed on both the interior and exterior of the heart.
@@geoffreyhansen284 I just turned 65 last month. My AFib started sometime during the pandemic, so it was at least 2 years, but maybe 3. After that 1st EKG showed AFib, I bought a Kardia device and it always reported AFib, never NSR. I was not that affected by it during everyday activities, but tired easily when I exercised. So I put off cardioversion for 1 year, hoping the arrhythmia drugs would help. Mutaq for 2 months and then amorodione after I complained to the Electrophysiologist that he had put me on the most expensive drug when the generic worked as well. 1st cadioversion in March was successful for 5 minutes. My EKG changed to look more like a combination of AFib and flutter, which we thought was progress. So we did a 2nd cardioversion 2 months later and it was successful for 3 days. Scheduled ablation for 4 moths later. Now, one month later, still in normal sinus rhythm. EP says he will call it a success after 3 months. Now I just take losartan for slightly elevated blood pressure and eliquis blood thinner. So, fingers crossed, my ablation was successful after having constant AFib for over 2 years. Are you in permanent AFib and trying to decide about having the procedure?
Had three carte versions,all failed ,never had a ablation ( too risky) now five years later have persistent AFib.hybred ablation sounds good to me.need to find good Doctor
So sad. Had ablation in 2008 . No tablets nothing needed after 100% successful ablation done by Australian Professor trained in Bordeaux the epicentre of ablation research and knowledge . Unfortunately many Cardiologists think they understand ablation but have not spent more than a few months training to carry out the procedure. Ablations done by experts with years of training do work . I and many other Australian patients are proof of that !
Thank you so much for this presentation because I was convinced by friends that I’ve had Ablation‘s that didn’t work that that’s exactly what I needed for my irregular heartbeat and occasional tachycardia. I am in Melbourne Florida, so I need to seek out a group such as yours in the vicinity. God bless you for speaking the truth and showing that there is a better way for this issue.
I went into the Cleveland Clinic for a right atrium ablation for Afib in Feb 2022. They aborted the ablation, as signals were coming from the left atrium to the right atrium according to the mapping they did. They did a cardioversion instead and I went into normal rythum. I'm still having racing of the heart at times. They stated I would need a left Atrium ablation. Never saw or heard from the doctor again. Planning on moving to the Houston area in late August 2022. I will look you up for an appointment. Great information on Afib.
very interesting. another point of view. another approach. i'm still exploring. but leaning toward ablation before i'd consider surgery. no doubt an excellent doctor.
Yes but the question is : if prior to do the procedure the pre clamp electrical testing shows no abnormal electrical activities on the PV why then proceed with the procedure since the signals could come from elsewhere than the PV?
What i did: i was 68 afib & atypical flutter. I went to the great Andrea Natale Austin TX LAA isolation. 6 mo later a watchman. 2.5 yrs of zero Arrythmia
I was told today I could use a second ablation touch up. I had Afib come and go for 9 yrs. I decided to have an ablation, it worked for 9 months, now I’m getting attacks again once every nigh wee hrs. The Diltiazem stops it in about hr. I’m on still sotalol went down to 40 mg. After first ablation than had to go back up to 80mg. I’ll try only the second afib that’s it! I was told the reason it came back was the burn scars left holes where burned and it needs a touch up? I was doing well for 9 mos after ablation and no more flutter! Just now afib is back so disappointed bc was doing good except for being tired a bit.
My cardiologist keeps pushing ablation but I declined cuz meds are effective for now. I later came across article why women have poorer outcomes after ablation and now this video so I feel more informed to consider this vs ablation and glad I went with my gut to decline the ablation
with technology improvement by the day i think ablations is very save procedure and a lot of researchers are looking at it as first treatment in atrial fibrillation you have nothing to lose tbh
I dont she is talking about the save part but of the having to go in there a 2 or 3 even a 4 time and not being able to fix the issue. @@mahadkuukuu3535
That is a very good medical discourse that clearly explains the how far Afib ablation have developed along time. The first discover of PV isolation was made in late 90 s by French prof dr. Michel Haisseguereform Bordeaux but the most revolutionary treatment was developed in US with the help of new tech , doc from Europe and all nations! Actually GP ablation seems to be the future for lone Afib, that means cases of most hard to treat ! for another kind of arithmya like structural valve or other desease, Afib and Flutter are different and there are particularly scheme of treat for all! All good for all!
This makes sense nerves on the outside of the heart and heart misfire or whatever it is. I drink something cold and can get tachycardia sometimes, or in one case I pulled on a rope moving my esophagus or chest muscles or whatever and set it off. My esophagus is inflamed some from bad sinus drainage and have fought reflux over the years. I have felt that the vagus nerve has had something to do with this mess. I have got to get this sinus problem under control. Not sure if is its allergies or an infection or that it will stop the tachycardia totally. The worse the sinus drainage the more I can set off tachycardia I believe. Have tried antibiotics and other allergy things. Sinus are inflamed and I have some asthma. I had Covid in January and think that had not helped. The drainage is thick and clear and sticky and awful. I'm awful at going to a Dr. I just dread dealing with anything. Suppose to go back to the Doctor in January will see then. Like a guy said at a Bible study I attend. If you die you will be with Jesus anyway so why worry. That's probably not good medical advice. Best just not getting old probably is the first step in the right direction. 😀
I am atrial flutter, I have had 12 hours worth of cardioversions, for flutter, rapid heart beat and irregular heart beat. I live in Panama. My cardiologist here has told me he no longer believes in cardioversions for flutter, unless it is very severe. He has me just live w/ it, I do take Garligin, which works great in lieu of Eliquis. I am living w/ this for 5 years no problems.
Wish I had found this video a month ago. I just had my ablation 2 days ago. Went in on both sides. I'm in rhythm now but now you have me wondering if it was a good choice. I never heard of a minimaze until I viewed this. Now I will bounce this off the Dr on my follow up visit.
Great presentation, had an oblation 15 ys. ago and A fib has reared it's ugly head again. My Doc. wants to do a procedure that stops all A fib forever, have you herd of anything that does that?
I had my first ablation about 20 years ago down here in Palm Beach and then I had a few more at JFK in Palm Beach with Dr. Fishel. I know I have a Watchman in everything seems to be working very well. Do you think it’s going to continue to work well
If you have rare thyroid condition called Generalized resistance to thyroid hormone cause the a fib. Would it be better mini maze or external ablation better.
Good Evening, Thank you for your presentation, I found it enlightning. Currently I.m age 64 male in AFIB again on BP meds and Metropolol. had a cardio version (sucessful) followed a few weeks later with Cath. Ablation which has been succesfful until a few weeks ago. I noticed my heart rate was elevated to 116 BPH resting on a heart watch, finger heart/O2 monitor and my BP cuff all concurred so went in and got EKG. Quickly was steered towards another Cath Ablation but they decided to put me on a ZIO Heart Monitor for 2 weeks (10 days left) and Eliquis 5/5 daily. If I understand correctly the mini maze ioffers great degree of success with long correction of the issue? I don't think it is an option here....., Thank you.
Watchman just prevents most clots, ablation cauterizes the heart cells that are misfiring and prevents the Afib. My husband’s cardiologist has suggested an ablation first to get severe Afib under control and the watchman device at a later date, once the Afib is under control. Sometimes both ablation and the watchman device can be done at the same time , in my husband’s case it was not advised.
I think most of the cuts to the heart model were pointless. Outside and inside. Doesn't explain why PVI works for many patients. References would be helpful when comparing minimaze vs catheter ablation.
EVERYONE gets put on a betablocker ( there are many) and a blood thinner (there are many) after their first bout of A fib. It is standard operating procedure.
I wish I knew about this before. Is there a way I can get to see you. I was shocked by my car and 70,000 volts passed through my heart. My son shut the car off and saved my life. Ever since that day my life has change for the worse. Lots of afib and cardiovetsions and ablations, still having trouble breathing. Can I get help from you?
@@harryplummer6356 Medicine isn't generally done based on "schools of respected thought". Do you have any evidence to support the need for ongoing anticoagulation?
Had AFib for nine years off and on. I had an ablation a little over a year ago and I have not had AFib in a year now.
Had a ablation around 6 years ago after 3 failed cardiovirsions so far so good 🤞
I had an ablation and a pacemaker inserted 6 weeks ago. Heart is in perfect rhythm now. Exercising for 70 minutes on bike and elliptical not even breathing hard as a fit 75 year old. Dr said I will not need another ablation. Pacemaker was inserted to fire when heart rate goes to 50 which it rarely does. My pulse is 64-68 mainly at rest
Is there any place in Jersey who does the Mimi version
Had AFib for eight years. Had an ablation 13 months ago and hav not had AFib for a year now.
Still on blood thinners, meds?
Bravo! Mine only lasted a few weeks
I had an ablation 3 days ago after about 18 months of constant AFIB, on multac, then amorodione, and 2 failed cardioversions. The ablation was successful so far, normal sinus rhythm and resting HR of 65 BPM. I'm half way through this video and glad I did not see this video beforehand, as I would have been convinced my ablation would fail. If my AFIB returns, I will consider mini-maze or what is being called hybrid ablation, that is performed on both the interior and exterior of the heart.
How old were you when you started getting consistent Afib and how long did mulas not work
@@geoffreyhansen284 I just turned 65 last month. My AFib started sometime during the pandemic, so it was at least 2 years, but maybe 3. After that 1st EKG showed AFib, I bought a Kardia device and it always reported AFib, never NSR. I was not that affected by it during everyday activities, but tired easily when I exercised. So I put off cardioversion for 1 year, hoping the arrhythmia drugs would help. Mutaq for 2 months and then amorodione after I complained to the Electrophysiologist that he had put me on the most expensive drug when the generic worked as well. 1st cadioversion in March was successful for 5 minutes. My EKG changed to look more like a combination of AFib and flutter, which we thought was progress. So we did a 2nd cardioversion 2 months later and it was successful for 3 days. Scheduled ablation for 4 moths later. Now, one month later, still in normal sinus rhythm. EP says he will call it a success after 3 months. Now I just take losartan for slightly elevated blood pressure and eliquis blood thinner. So, fingers crossed, my ablation was successful after having constant AFib for over 2 years. Are you in permanent AFib and trying to decide about having the procedure?
Had three carte versions,all failed ,never had a ablation ( too risky) now five years later have persistent AFib.hybred ablation sounds good to me.need to find good Doctor
So sad. Had ablation in 2008 . No tablets nothing needed after 100% successful ablation done by Australian Professor trained in Bordeaux the epicentre of ablation research and knowledge . Unfortunately many Cardiologists think they understand ablation but have not spent more than a few months training to carry out the procedure. Ablations done by experts with years of training do work . I and many other Australian
patients are proof of that !
Can I ask what the doctors name is thanks
Here in pakistan,i m feeling pessimistic. I cant find a doc and im dying. I want support
Can we have the doctors name please?
Please post the name of the Doctor and the Hospital in AU here please.
Well explained and thank you for educating us 🙏❤️🌹
Thank you so much for this presentation because I was convinced by friends that I’ve had Ablation‘s that didn’t work that that’s exactly what I needed for my irregular heartbeat and occasional tachycardia. I am in Melbourne Florida, so I need to seek out a group such as yours in the vicinity. God bless you for speaking the truth and showing that there is a better way for this issue.
I went into the Cleveland Clinic for a right atrium ablation for Afib in Feb 2022. They aborted the ablation, as signals were coming from the left atrium to the right atrium according to the mapping they did. They did a cardioversion instead and I went into normal rythum. I'm still having racing of the heart at times. They stated I would need a left Atrium ablation. Never saw or heard from the doctor again. Planning on moving to the Houston area in late August 2022. I will look you up for an appointment. Great information on Afib.
I’m so happy you found 😊
Have you had your first appointment in Houston yet?
very interesting. another point of view. another approach. i'm still exploring. but leaning toward ablation before i'd consider surgery. no doubt an excellent doctor.
Yes but the question is : if prior to do the procedure the pre clamp electrical testing shows no abnormal electrical activities on the PV why then proceed with the procedure since the signals could come from elsewhere than the PV?
What i did: i was 68 afib & atypical flutter. I went to the great Andrea Natale Austin TX LAA isolation. 6 mo later a watchman. 2.5 yrs of zero Arrythmia
Awesome Dr. Wolf!
I know ablation done as soon as found out the person had afib, guess what? It worked gone very long time now! It worked, one ablation!
Who was the cardiologist
I was told today I could use a second ablation touch up. I had Afib come and go for 9 yrs. I decided to have an ablation, it worked for 9 months, now I’m getting attacks again once every nigh wee hrs. The Diltiazem stops it in about hr. I’m on still sotalol went down to 40 mg. After first ablation than had to go back up to 80mg. I’ll try only the second afib that’s it! I was told the reason it came back was the burn scars left holes where burned and it needs a touch up? I was doing well for 9 mos after ablation and no more flutter! Just now afib is back so disappointed bc was doing good except for being tired a bit.
Have you decided what your going to do? My first ablation gave me 4 weeks of no afib. Now have it back.
My cardiologist keeps pushing ablation but I declined cuz meds are effective for now. I later came across article why women have poorer outcomes after ablation and now this video so I feel more informed to consider this vs ablation and glad I went with my gut to decline the ablation
with technology improvement by the day i think ablations is very save procedure and a lot of researchers are looking at it as first treatment in atrial fibrillation you have nothing to lose tbh
Ablation is more effective than medication to prevent the progression from paroxsymal to persistant afib,
I dont she is talking about the save part but of the having to go in there a 2 or 3 even a 4 time and not being able to fix the issue. @@mahadkuukuu3535
@@mahadkuukuu3535 Except that you have to stay on anticoagulants for life
Very interesting lecture. Thank you.
That is a very good medical discourse that clearly explains the how far Afib ablation have developed along time. The first discover of PV isolation was made in late 90 s by French prof dr. Michel Haisseguereform Bordeaux but the most revolutionary treatment was developed in US with the help of new tech , doc from Europe and all nations! Actually GP ablation seems to be the future for lone Afib, that means cases of most hard to treat ! for another kind of arithmya like structural valve or other desease, Afib and Flutter are different and there are particularly scheme of treat for all! All good for all!
This makes sense nerves on the outside of the heart and heart misfire or whatever it is. I drink something cold and can get tachycardia sometimes, or in one case I pulled on a rope moving my esophagus or chest muscles or whatever and set it off. My esophagus is inflamed some from bad sinus drainage and have fought reflux over the years. I have felt that the vagus nerve has had something to do with this mess. I have got to get this sinus problem under control. Not sure if is its allergies or an infection or that it will stop the tachycardia totally. The worse the sinus drainage the more I can set off tachycardia I believe. Have tried antibiotics and other allergy things. Sinus are inflamed and I have some asthma. I had Covid in January and think that had not helped. The drainage is thick and clear and sticky and awful. I'm awful at going to a Dr. I just dread dealing with anything. Suppose to go back to the Doctor in January will see then. Like a guy said at a Bible study I attend. If you die you will be with Jesus anyway so why worry. That's probably not good medical advice. Best just not getting old probably is the first step in the right direction. 😀
I am atrial flutter, I have had 12 hours worth of cardioversions, for flutter, rapid heart beat and irregular heart beat. I live in Panama. My cardiologist here has told me he no longer believes in cardioversions for flutter, unless it is very severe. He has me just live w/ it, I do take Garligin, which works great in lieu of Eliquis. I am living w/ this for 5 years no problems.
not cardioversions, ablations
What about the watchman device to block blood clots?
Thanks very we’ll explained
Wish I had found this video a month ago. I just had my ablation 2 days ago. Went in on both sides. I'm in rhythm now but now you have me wondering if it was a good choice. I never heard of a minimaze until I viewed this. Now I will bounce this off the Dr on my follow up visit.
I'm glad you wrote this. I too just had an ablation (first time) and now I'm concerned.
I would love to hear lecture about mini-maze for patients.
Thank you…
Is the watchman’s good for the atrial appendage
Does clipping the LAA affect the blood pressure?
If this is true then why does PFA work?
What about atrial flutter?
How do I contact this doctor
He is at Methodist Houston
Great presentation, had an oblation 15 ys. ago and A fib has reared it's ugly head again. My Doc. wants to do a procedure that stops all A fib forever, have you herd of anything that does that?
What’s it called? Also 15 years without what age were you when you got it the first time ?
Can an ablation burn the outside of the heart. I had flutter it was gone after ablation fixed the whole flutter
I had my first ablation about 20 years ago down here in Palm Beach and then I had a few more at JFK in Palm Beach with Dr. Fishel. I know I have a Watchman in everything seems to be working very well. Do you think it’s going to continue to work well
If you have rare thyroid condition called Generalized resistance to thyroid hormone cause the a fib. Would it be better mini maze or external ablation better.
Good Evening, Thank you for your presentation, I found it enlightning. Currently I.m age 64 male in AFIB again on BP meds and Metropolol. had a cardio version (sucessful) followed a few weeks later with Cath. Ablation which has been succesfful until a few weeks ago. I noticed my heart rate was elevated to 116 BPH resting on a heart watch, finger heart/O2 monitor and my BP cuff all concurred so went in and got EKG. Quickly was steered towards another Cath Ablation but they decided to put me on a ZIO Heart Monitor for 2 weeks (10 days left) and Eliquis 5/5 daily. If I understand correctly the mini maze ioffers great degree of success with long correction of the issue? I don't think it is an option here....., Thank you.
Hubby waiting for a Watchman. Will this help prevent a fib or will it just prevent clots?
Watchman just prevents most clots, ablation cauterizes the heart cells that are misfiring and prevents the Afib. My husband’s cardiologist has suggested an ablation first to get severe Afib under control and the watchman device at a later date, once the Afib is under control. Sometimes both ablation and the watchman device can be done at the same time , in my husband’s case it was not advised.
I think most of the cuts to the heart model were pointless. Outside and inside. Doesn't explain why PVI works for many patients. References would be helpful when comparing minimaze vs catheter ablation.
What is pvi
@@paulsochinfan pulmonary vein isolation is the endovascular ablation cornerstone technique for atrial fibrillation ablation
Iam on Atenonol and plavix after the Diagnosis.what is your opinion 🙏
EVERYONE gets put on a betablocker ( there are many) and a blood thinner (there are many) after their first bout of A fib. It is standard operating procedure.
Can it work on PAF too? Any experience with this?
Its an easy procedure. 2 hours no pain go home same day
All these procedures are good providing you are not in fl
Sometimes. Mine was 6 hours, horrifically painful, and 2 day stay. It's highly dependent on one's scenario and other medical circumstances.
I wish I knew about this before. Is there a way I can get to see you. I was shocked by my car and 70,000 volts passed through my heart. My son shut the car off and saved my life. Ever since that day my life has change for the worse. Lots of afib and cardiovetsions and ablations, still having trouble breathing. Can I get help from you?
Bob, Listen again to the presentation since he says how to contact him. Your experience is pure terror. I wish you peace.
@@jeffkezerian4169 I did reach out to him and they never contacted me back. Thank you for your concern
Why do you think by restoring SR you can make people get rid of blood thinner? Where do you get this from?
Seems more like sales men pitch then academic lecture
LAA closure I believe he would say
Because if you no longer have atrial fibrillation, you no longer need blood thinners for atrial fibrillation....
@@danielmcclellan544 There is a school of respected thought that suggests you stay on anticoagulants.
@@harryplummer6356 Medicine isn't generally done based on "schools of respected thought". Do you have any evidence to support the need for ongoing anticoagulation?
quacks like a duck
never heard of minimaze . Not on goolge. what is it?
It's on TH-cam.