Atrial fibrillation Ablation for Patients

[@cybergal99]

Thank you so much for this excellent, well organized, well illustrated video. I had a cryo-ablation a month ago and feel like a new person. I had 5 episodes spread out over three years but they became more frequent this Summer and I said that's it! I've stopped drinking all alcohol, trying to loose weight (not easy.. but). Today after my follow-up I wanted to cry I was so grateful for the skill of my doctor! Rock On and keep educating!

[@Dr.Attaya]

Very happy to hear.. I'm glad you feel better. Not a life threatening arrhythmia (have to protect against stroke, though), but can make a big difference in people's lives.

[@АнатолийКлепацкий]

Криоаблация лучше рча? Спасибо.

[@DMoney505]

I’m scheduled for an ablation for paroxysmal afib. I don’t go into afib very often I’m aware of triggers, But I seem to be dealing with a lot of palpitations usually after dinner and when laying down for bed. Will an ablation typically Cure the heart palpitations too? I’m sure the palpitations are coming from the same spot, And sometimes it starts with a skipped beat and then I’m out of rhythm and into afib. Thank you Doctor!

[@manikaren3131]

Thanks doc. Your presentation and less dramatic approach made this video the best among several others that are there.

[@davidfrancis273]

Thank you, this is an excellent presentation. So clear and well described.

[@donnacombs7643]

Thank you sir that was an excellent explanation on the condition and procedure.

[@henryjia4725]

Good presentation which answers most of my questions. It’s the first time that I heard ablation will prolong life while the information from other sources say it doesn’t make difference and it only reduces symptoms. I am 67 years old, and found Afib in recent months, and I have no symptoms, healthy in general with no high blood pressure, no high blood sugar, and my LDL is a little bit higher at 130. I am currently taking xarelto to reduce risk of stroke. I am wondering if ablation is needed, and this presentation says ablation will not reduce risk of stroke and blood thinners is still needed. I hope not to take blood thinners for long time which could be harmed to kidney.

[@maurorufatt3307]

Thank you Dr Attaya , my time has come. 🎉😊

[@thechannel1019]

Thank you for this excellent video. One of the best I’ve seen. I had ablation in 2000 and made it to about 2 yrs ago with no issue. Next month I’m having repeat so was good to see this video.

[@Dr.Attaya]

Thanks so much for the kind words... Appreciate the feedback. Good luck next month.

[@lrc87290]

Waiting for Pulsed Field Ablation to be approved. Hopefully sooner than I progress to permanent AFib

[@trevorthebest1]

I'm having a radio frequency ablation on May 28th 2024.

[@fs3579]

How do they come out of it? Are they taking action or it goes out by itself?

[@ARPine-bt9uo]

Thank you for making this video! Very concise well presented. I'm a nursing student and I just had a clinical at the Cath Lab. Things are making sense now! 😅

[@Dr.Attaya]

So happy to hear... Think about cath and ep.. It is a very fulfilling field... Thanks for commenting,.

[@fs3579]

10% esocphageal injury but it will likely heal with out issues?

[@fs3579]

If you are young and medication works? It is still good to intervene with ablation?

[@gregschwab3491]

This is an excellent education video. So happy I found it.

[@Dr.Attaya]

Thanks so much for the kind words. Glad you liked it.

[@kiranbhaskar2871]

Thanks doing this informative video. Could you please let me know if Atrial Fibrillation abalation is effective for patients with HOCM? Is the chance of recurrence of AFib more in that case?

[@Dr.Attaya]

Good question. I've seen mixed data. Some say success rates were low, other studies were more reassuring.. My view is that there is probably lower success rates in general, but its a highly individualized condition. I've had some patients do quite well (better than the studies would have predicted).

[@happywanderer2874]

Thank you for the informative video. Question: why does ablation not eliminate the need for blood thinners? Isn’t the fibrillation itself the reason why the blood stagnates in the atrium and potentially clots? If AFib is eliminated then how does a clot form?

[@brianaim1858]

Exactly what I was thinking. I don't see any answer!

[@Dr.Attaya]

Excellent question. If we could 100% say it was gone and not going to come back, then we could do just that. Unfortunately our understanding of all the mechanisms of afib for everyone is incomplete. A lot (most) do very well after ablation, but we still see recurrences, and they aren't always as symptomatic as they were upon presentation. Additionally, most people (unless they have a loop recorder or pacemaker) aren't monitored continuously. So people can recur with atrial fibrillation and not always feel it (such as during sleep). This may change. With wearables like apple watches or fit bits, that give daily monitoring, there might a change to the national guideline to continue anticoagulation based on ones stroke risk, not based on apparent success of the ablation.

[@brianaim1858]

@Dr.Attaya another question: why is afib incurable if the cause is known? Let's say sleep apnea . Logically, if you eliminate the cause, the afib should cease.

[@Dr.Attaya]

Usually they are contributors (among many) rather than sole causes. Untreated sleep apnea will absolutely limit success, but not everyone with apnea gets fib. The heart is still prone to having fib. If you treat the apnea (and you should if you have it) you are much less likely to recurrence, but one's genetics, age, htn, and even the activity of one's pulmonary veins will still be there. Usually its a combination of several factors. That being said, anything you can do to influence, is super helpful. For a lot of people, particularly post ablation, fib is eliminated, but typically without enough long term certainty to stop blood thinners based on latest studies and practice guidelines.

[@brianaim1858]

@Dr.Attaya Thank you, Dr. Attaya. I get it now, so the causes are triggers for afib predisposed people. Salam.

[@gardenjohn1]

If you have a watchman device already, do you need blood thinners?

[@petervernelen6784]

Hi, doctor had my ablation for svt about a week ago but I still experience some hartbeat skipping and a somewhat burning chest pain sensation at times is this normal?

[@GeorgeKush24]

I am not a doctor, but I have read that it's somewhat normal to have some irregularities for a while post ablation. I would ask your doctor. Let me know if your doctor confirms what I said.

[@sergiogalindo3024]

Thank You Dr. Attaya! Very helpful information! Does it matter Dr., If you happen to be in AFib right before the procedure?

[@Dr.Attaya]

Thanks so much.. We can do ablation in or out of fibrillation... Most people also do a tee (transephogeal echo) right before if in fib to make sure you haven't developed a blood clot.

[@nickdoan4895]

Good morning Dr Attaya, as you mentioned, the atrial fibrillation can cause the " scars " ( or fibrosis) which will make the atrial fibrillation last longer and more often. My question is, so can you ablation the " scars", if so, how can you locate the " scars ". Thank you very much. God bless you.

[@Dr.Attaya]

the fibrosis from fib is diffuse within the atrium. Ablation itself leaves scars from the lesions, so we try to target the veins primarily. In the past, some approaches favored modification of those scars in the atrium with further scars (ablation). They seemed to work for some people, but not consistently. Other approaches were to try to box out the scarred tissue from the health with additional scar (ablation lesions). For people further along in fibrillation, that sometimes can be helpful. It's best to try not to get to that point, but for some people, they present later on in their disease course (especially if their symptoms are subtle).

[@andrearoyal6809]

I have AFib and have pacemaker since 2016 and I didn't have episode for around 2 years but recently the episodes came back. Question is can I have Ablation and Pacemaker at the same time in my heart? I'm on blood thinner called Pradaxa, metoprolol Flecainide, Lisinopril and Amlodipine. Your comments will be greatly appreciated.

[@Dr.Attaya]

Yes, pacemakers definitely don't prohibit ablation, but the doctor will just have to be extra careful around the pacemaker leads in the right side of the heart while he or she accesses and works on the left... Its done fairly routinely, and with care and imagining is usually quite safe.

[@Daves-hereagain]

I had a CryoAblation about 8 years ago after having 2 Cardioversions and was put on a blood thinner Currently I am taking Eliquis and have since my Ablation. My question is how long should a person have to continue taking this blood thinner?

[@Dr.Attaya]

The national guidelines say for life, even if apparently successful. The reason is that you may not feel if you have fibrillation again (sometimes w/ ablation people become less symptomatic) or it may occur during sleep. Additionally, sometimes people may not feel their recurrence which may occur years later. Every situation is different so talk to your doctor, but generally it is for life. That may change as there are more methods to monitor heart rhythm (loop recorders, apple watch and other wearables), but right now the guidance is anticoagulation for life.

[@JamesMorgan_LifeandText]

Very helpful; thank you!

[@cablaze1]

Super presentation, Thank you Doc.

[@1955nomad]

Great info thank you .

[@selimawad]

Very instructive. Thanks.

[@tallrotsmarie11]

Doctor have done my oppration last week but still hv palpitations not soo much but have is it normal or?

[@valeriestudenroth3650]

When they go into burn the area that needs to be done ... will that area where they burn is that a hole n will the burn make close n how will it heal ? Thank you for this video

[@Dr.Attaya]

usually there is no hole.. It's just a scar within the tissue.

[@jpear]

what an informative video! I learned so much…..thank you

[@Dr.Attaya]

Thank you so much.. glad it was helpful

[@rebeccayeo3585]

Is there age limit?

[@Dr.Attaya]

Really depends on overall health, of which age plays a factor.. Need to discuss with the doctor and see if you are a good candidate.

[@Jeffrey-t5y]

Excellent! Thank you.

[@Dr.Attaya]

My pleasure.. thank you so much.

[@geraldinehorgan8994]

Excellent …. Thank you

[@hollygriffin7087]

Doesn't have a good success rate ! 😢

[@joesanchez3646]

I was diagnosed with Afib, Aflutter,pause and murmur, a cardiologist was pushing an ablation, the person that does the procedure disagreed with the cardiologist, but mysteriously changed his mind, I dropped them both, did some diet changes and the only effect so far is the pause on occasion 😎

[@3vimages471]

I am having this done next week. They are using neither freezing technic nor burning one ........ they are using a new procedure invented in Germany with scarring being formed by some sort of electrical field. Wish me luck please.

[@Dr.Attaya]

Good luck.. most patients do very well.. if your doctors are optimistic, you should be as well.

[@3vimages471]

Thank you. @@Dr.Attaya

[@carolwilliams6633]

No bowel movement 4 days after. Help!

[@1979denman]

O

[@DEREKCHOWIE]

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