Thanks, due in tomorrow for my second ablation, first one lasted 5 years, I think I understood what I was in for, but your explanation helped. I do not want a pacemaker, yet, but good to know.
I'm asking my previous questions, because you placed the loop (linq) recorder in my chest on March 31, 2016 Dr. Cooper at Temple after my 3rd stroke and that is how I learned atrial fibrillation was causing my strokes.
Very informative! I have Brugada Syndrome, so I have an ICD, along with metoprolol and aspirin. I had seven shocks from the original ICD and, luckily, technology has improved so that my newer ICDs don’t deliver unnecessary therapies. Unfortunately, I also developed Paroxysmal Afib in recent years. Both my general cardiologist and electrophysicist said I have enlargement of the heart, so they advised Afib ablation. I had that procedure (not fun) three years ago. I’ve been relatively fine since then, except for some recent episodes of Afib, likely caused by breakthrough Covid, and shortly after, a strenuous European tour that went beyond my physical capabilities.
Dr. Cooper, I have watched many, many videos on the subject -- but yours is clearly the best! Your video addresses AF-mediated tachycardia; my paroxysmal AF triggers bradycardia and pauses. Is there a complementary video addressing bradycardia?
What is the success rate of the ablation? And how much scar tissue will affect the heart after the ablation as how will that co tribute to future a-fib episodes?
Atrial fibrillation has a wide spectrum between different patients. Some people's atrial fibrillation is easier to suppress than others, depending the presence of other heart problems and the pattern of afib. These days, ablation tends to work on average 70 to 80% of the time after one procedure, and if a second procedure is needed, that elevates the overall result further. The type of scar tissue that is formed during ablation is very different and simpler than the type of scar tissue that forms due to aging and other heart conditions. So ablation usually does not increase the chance of future arrhythmias, but rather it decreases it, even though we are indeed forming a new different type of scar tissue. In somebody who has had a previous stroke and who has atrial fibrillation, even if we perform an ablation, we generally recommend lifelong blood thinner, because there is always a risk that atrial fibrillation could come back.
Do they have to burn the bridge when the afib person heart rate shows in the 130s 24 hrs a day 7 days a week constantly for months and months i assume the ventricles are doing the 130s ......zio patch shows permanent arterial fibulation
No, usually not. Usually medications can be used and adjusted to effectively control the pulse rate even while somebody is in persistent atrial fibrillation. And then there are the medication and catheter ablation methods i mentioned that can restore normal rhythm in a significant majority of people where this is felt to be appropriate.
@@dr.joshuacooper-arrhythmia9917 thank you sir they're eventually doing the catheter ablation in about 2 weeks I am not on any meds for the AFib I really do not want any meds for the AFib nor do I want a pacemaker I just want them to go in zap the trigger spots and call it a day thank you so much for your time what state are you in I'll move there ((are you accepting any new patients lol..))
Thanks, due in tomorrow for my second ablation, first one lasted 5 years, I think I understood what I was in for, but your explanation helped.
I do not want a pacemaker, yet, but good to know.
I'm asking my previous questions, because you placed the loop (linq) recorder in my chest on March 31, 2016 Dr. Cooper at Temple after my 3rd stroke and that is how I learned atrial fibrillation was causing my strokes.
Very informative! I have Brugada Syndrome, so I have an ICD, along with metoprolol and aspirin. I had seven shocks from the original ICD and, luckily, technology has improved so that my newer ICDs don’t deliver unnecessary therapies. Unfortunately, I also developed Paroxysmal Afib in recent years. Both my general cardiologist and electrophysicist said I have enlargement of the heart, so they advised Afib ablation. I had that procedure (not fun) three years ago. I’ve been relatively fine since then, except for some recent episodes of Afib, likely caused by breakthrough Covid, and shortly after, a strenuous European tour that went beyond my physical capabilities.
What a lesson! Thank you so much for all your expertise!
extremely valuable video
Dr. Cooper, I have watched many, many videos on the subject -- but yours is clearly the best! Your video addresses AF-mediated tachycardia; my paroxysmal AF triggers bradycardia and pauses. Is there a complementary video addressing bradycardia?
Thank you for explaining so well!
Great expainations. Thnk you
Great presentation,
What is the success rate of the ablation? And how much scar tissue will affect the heart after the ablation as how will that co tribute to future a-fib episodes?
Atrial fibrillation has a wide spectrum between different patients. Some people's atrial fibrillation is easier to suppress than others, depending the presence of other heart problems and the pattern of afib. These days, ablation tends to work on average 70 to 80% of the time after one procedure, and if a second procedure is needed, that elevates the overall result further. The type of scar tissue that is formed during ablation is very different and simpler than the type of scar tissue that forms due to aging and other heart conditions. So ablation usually does not increase the chance of future arrhythmias, but rather it decreases it, even though we are indeed forming a new different type of scar tissue. In somebody who has had a previous stroke and who has atrial fibrillation, even if we perform an ablation, we generally recommend lifelong blood thinner, because there is always a risk that atrial fibrillation could come back.
Do they have to burn the bridge when the afib person heart rate shows in the 130s 24 hrs a day 7 days a week constantly for months and months i assume the ventricles are doing the 130s ......zio patch shows permanent arterial fibulation
No, usually not. Usually medications can be used and adjusted to effectively control the pulse rate even while somebody is in persistent atrial fibrillation. And then there are the medication and catheter ablation methods i mentioned that can restore normal rhythm in a significant majority of people where this is felt to be appropriate.
@@dr.joshuacooper-arrhythmia9917 thank you sir they're eventually doing the catheter ablation in about 2 weeks I am not on any meds for the AFib I really do not want any meds for the AFib nor do I want a pacemaker I just want them to go in zap the trigger spots and call it a day thank you so much for your time what state are you in I'll move there ((are you accepting any new patients lol..))