Is a pacemaker better than ablation?

Catheter ablation of atrial fibrillation (AFib) is a safer, and more effective treatment for patients with tachycardia-bradycardia syndrome (TBS) than pacemaker implantation, according to a study published in Frontiers in Cardiovascular Medicine.
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Is ablation or pacemaker better?

Conclusions: In patients with paroxysmal AF-related tachycardia-bradycardia syndrome, AF ablation seems to be superior to a strategy of pacing plus AAD. Pacemaker implantation can be waived in the majority of patients after a successful ablation.
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Do you always need a pacemaker after ablation?

Results. After AV node ablation, your symptoms and quality of life will likely improve. You will need a permanent pacemaker to control your heart rate, and may need to take blood thinners to reduce your risk of a stroke.
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Can you have cardiac ablation if you have a pacemaker?

However, a prospective study showed that atrial ablation can be performed relatively safely in patients with pacemakers and defibrillators (although one patient in the study population had transient increase in atrial lead capture threshold and another had a decrease in atrial sensing after ablation).
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What is the life expectancy of a person with a pacemaker?

Baseline patient characteristics are summarized in Table 1: The median patient survival after pacemaker implantation was 101.9 months (approx. 8.5 years), at 5, 10, 15 and 20 years after implantation 65.6%, 44.8%, 30.8% and 21.4%, respectively, of patients were still alive.
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Pacemakers and Defibrillators: What’s the Difference?



What are the disadvantages of a pacemaker?

Risks
  • Infection near the site in the heart where the device is implanted.
  • Swelling, bruising or bleeding at the pacemaker site, especially if you take blood thinners.
  • Blood clots (thromboembolism) near the pacemaker site.
  • Damage to blood vessels or nerves near the pacemaker.
  • Collapsed lung (pneumothorax)
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What are 4 things to be avoided if you have a pacemaker device?

What precautions should I take with my pacemaker or ICD?
  • It is generally safe to go through airport or other security detectors. ...
  • Avoid magnetic resonance imaging (MRI) machines or other large magnetic fields. ...
  • Avoid diathermy. ...
  • Turn off large motors, such as cars or boats, when working on them.
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Does ablation weaken the heart?

Risks of Cardiac Ablation

Damaged blood vessels if the catheter scrapes them. Arrhythmias caused by damage to your heart's electrical system. Blood clots in your legs or lungs. Heart damage, like punctures or damaged valves.
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Will pacemaker stop AFib?

The pacemaker does not treat atrial fibrillation itself. The pacemaker is used to treat a slow heart rate (bradycardia) that happens in some people who have atrial fibrillation.
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Is a pacemaker a last resort?

In these cases, an AV node ablation and pacemaker implantation procedure is considered “as the last resort,” Oral says, for only patients with the most serious symptoms or those with deteriorated heart function because of rapid heart rate.
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What heart conditions require a pacemaker?

Pacemakers are used to treat heart rhythm disorders and related conditions such as: Slow heart rhythm (bradycardia) Fainting spells (syncope) Heart failure.
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What is the most effective treatment for atrial fibrillation?

Heart rate medicines: The most common way to treat atrial fibrillation is with drugs that control your heartbeat. These slow your rapid heart rate so your heart can pump better. You may need other drugs. Some are called beta-blockers.
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How serious is heart ablation surgery?

In general, cardiac (heart) catheter ablation is a minimally invasive procedure and risks and complications are rare. Catheter ablation may require an overnight stay in the hospital though most patients can return home the same day as the procedure.
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Is heart ablation worth the risk?

Ablation can relieve symptoms and improve the quality of life in people with atrial fibrillation. But it doesn't work for everyone. If atrial fibrillation happens again after the first ablation, you may need to have it done a second time. Repeated ablations have a higher chance of success.
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Does ablation fix bradycardia?

Conclusions: Even for long-term following up, catheter ablation is effective for preventing both the tachycardia and bradycardia components for the majority of patients with TBS without the need for further pacemaker implantation.
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What is life expectancy after AV node ablation?

Indications for AV node ablation were paroxysmal atrial fibrillation in 95 (83%) and paroxysmal atrial fibrillation/flutter in 19 (17%). The survival curve showed a low overall mortality after 72 months (10.5%). Fifty two per cent of patients progressed to permanent atrial fibrillation within 72 months.
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How long after a pacemaker will I feel better?

You'll usually be able to do all the things you want to do after around 4 weeks. The time you need off work will depend on your job. Your cardiologist will usually be able to advise you about this.
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Do you need blood thinners with a pacemaker?

TUESDAY, Oct. 18, 2016 (HealthDay News) -- People with an abnormal heart rhythm called atrial fibrillation typically take powerful blood thinners to prevent strokes. But, some patients who have implanted pacemakers or defibrillators may not always need the drugs, a new study suggests.
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Is AFib a death sentence?

The AHA notes that an episode of AFib rarely causes death. However, these episodes can contribute to you experiencing other complications, such as stroke and heart failure, that can lead to death. In short, it's possible for AFib to affect your lifespan. It represents a dysfunction in the heart that must be addressed.
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Can ablation cause congestive heart failure?

Introduction. Catheter ablation is an effective approach for managing patients with atrial fibrillation (AF) [1-7]. Currently, irrigation catheters are widely used in AF ablation. This causes volume overload during the procedure and occasionally causes heart failure after the procedure.
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Who is a good candidate for cardiac ablation?

Good Candidates for Cardiac Ablation

Likely candidates for the cardiac ablation procedure include: People who cannot have a procedure called cardioversion. One type of cardioversion uses medication, but some people cannot take these drugs. Others experience severe side effects from them.
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Is there an age limit for cardiac ablation?

Our physicians perform catheter ablations on patients of advanced age – up to 90 – with similar results to those of younger age. However, as age advances, patient selection becomes more critical. There is nothing inherent to the catheter ablation procedure that causes undue risk on an older individual.
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What are the most common problems with a pacemaker?

As with any medical or surgical procedure, pacemaker implantation has risks as well as benefits.
  • Blood clots. A blood clot can develop in one of the veins in the arm on the side of the body where the pacemaker was fitted. ...
  • Pacemaker infection. ...
  • Air leak. ...
  • Problems with the pacemaker. ...
  • Twiddler's syndrome.
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Can you drink coffee with a pacemaker?

Despite prior concerns, experts have concluded that coffee and tea are safe for patients with an abnormal heart rhythm, based on a review of all available evidence. Published in JACC: Clinical Electrophysiology, this study looked at the impact of caffeinated beverages on heart rhythm.
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Is getting a pacemaker a major surgery?

In most cases, pacemaker surgery – barring complications – is a minor surgery that should only take around one to two hours to perform. During this surgery, you'll most likely be awake, and the surgery will be performed using local anesthesia to numb the incision site.
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