AV node ablation

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xislandman2004
Posts: 1196
Joined: May 24th, 2008, 7:17 pm
Location: Homosassa, Florida

AV node ablation

Post by xislandman2004 » December 23rd, 2013, 7:20 pm

I underwent a Atrial Ventricular Node ablation today and am now 100% pacemaker dependent and my heart rate is a stead 72 bpm. After years of intermittent atrial tachycardia and almost totally this past several weeks averaging 90 to 130 bpm, I was wore out. The procedure today took about 45 minutes. I went under at 120 bpm and came out at 70 and I feel like a hundred lb box of rocks are off my chest. Doc said in a couple of weeks my heart muscle will recover from the abuse and I will be good as new. It took me awhile to finally make the decision... a bit scary knowing your ICD/pacemaker is between you and a place in the ground but I just could not go on with the physical and mental misery any longer and not willing to get out and live life as I should. Now I am ready to book a flight and not worry.

It was a long time coming but absolutely the right decision...
--dennis

Hypertrophic Cardiomyopathy - Heart failure
First ICD Medtronic 5/16/08
Pulmonary Vein Ablation 9/1/10
Second ICD Medtronic 5/8/12
AV Node ablation 12/23/13
Medtronic Viva CRT-D 4/14/14
Mitral valve replacement 7/14/15
plural and pericardia fluids (2.5 liters) drained 2/16


Coreg 12.5mg x 3


Coumadin 4.0 mg qd
Lasix 40mg x 2
Potassium 10 megs per 20 mg Lasix




Then the lie passed into history and became truth. - George Orwell 1984

Mary Kay
Posts: 1475
Joined: September 23rd, 2011, 10:57 am
Location: Oak View, CA

Re: AV node ablation

Post by Mary Kay » December 23rd, 2013, 7:27 pm

:hugg: :congratulations: Glad to hear all went well. So are you saying that your heart wouldn't beat at all without the pacemaker?
Mine paces 100% but I am quite sure it wouldn't stop beating without it, it would just drop to about 30 bpm I was told, which is definitely not good.
Hope you are completely healed in time for all that News Year's Eve partying.
CHF, Cardiomyopathy and LBBB
EF 20%
St. Jude Bi Vent ICD CRT implanted September 9, 2011
7 shock storm inappropriate due to dislodged lead
damaged lead removed and replaced Sept 26, 2011
EF improved to 50% in December 2012
Carvedilol 12.5 mg 2x
Ramipril 5 mg 2x

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KansasAl
Posts: 628
Joined: April 11th, 2012, 7:30 pm

Re: AV node ablation

Post by KansasAl » December 23rd, 2013, 8:04 pm

Good for you, Dennis. It's nice to take a step up every now and again.

Enjoy the Holidays. Alan

ps - What's with the plane ticket? I thought Navy men booked passage? :mutt:

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freckles1880
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Joined: April 18th, 2009, 7:19 pm
Location: Broomfield, Colorado

Re: AV node ablation

Post by freckles1880 » December 23rd, 2013, 8:46 pm

Great news. I am glad thigs worked out for you. Now some more healing and back feeling good.

wavhi
Bob

Medtronic-Visia AF implanted 7-8-2016 stayed with the with 6947 Sprint Quattro Secure lead. Original ICD implant 2-4-2009. ICD turned off 10-6-17 as stage 4 lung cancer taking over.
Major heart attack, carcinogenic shock and quad bypass 10-13-08 post myocardial infarction, old inferior MI complicated by shock and CHF, combined, Atherosclerosis, abdominal aortic Aneurysm, Seroma 7 cm, left leg. Stent in the left main vein 10-7-2014

My "Wardens" are my bride of 54+ years and my daughters.

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Ozchrissy
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Joined: September 27th, 2008, 9:28 am
Location: Australian

Re: AV node ablation

Post by Ozchrissy » December 23rd, 2013, 9:04 pm

:congratulations:

A decision well thought out and made with confidence. Enjoy your time in the future, I am sure you will not know yourself. So glad you are feeling better already, just wait until you recover completely. Yippee
“I am not what happened to me, I am what I choose to become.” Carl Jung

Diagnosed with cardiomyopathy in 10/99
LBBB & VT diagnosed Feb 06
Guidant Biventricular Pacer ICD inserted Feb 06: Boston Scientific Incepta CRT-D inserted May, 2012
Oesophageal Cancer, 2012, Gall Bladder & Septicemia 2014 resulting in VFib and severe heart damage
Bare Metal Stent May, 2012 Mitral Valve replaced 2015
Meds: Entresto, Bicard, Coralan, Eurtorxsiq, Frusehexl, Spiractin, Sigmaxin, Creon, Warfarin,
Appropriate Shocks for Ventricular VFib.

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SuzieQ
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Joined: June 16th, 2010, 5:45 am

Re: AV node ablation

Post by SuzieQ » December 23rd, 2013, 10:26 pm

Good for you. I know that feeling from the times I go into AFib. Until I'm cardioverted I can barely function and I can't think clearly either. Wouldn't want to live if I felt that way all the time. It's bad enough being tired from the heart rhythm drugs even without the AFib. So glad all went well and you're on the upward path.
2/11/09 MI, SCD
2/12/09 2 stents in LAD, 1 drug eluting, 1 bare metal
2/17/09 Implanted Medtronic Virtuoso II DR
AFib, Leaky Mitral Valve
My intro at http://www.icdsupportgroup.org/board/vi ... 650#p61650

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Eric
Posts: 1412
Joined: May 1st, 2011, 7:39 pm
Location: Utah

Re: AV node ablation

Post by Eric » December 23rd, 2013, 11:18 pm

Dennis,

Glad everything went smooth and that you are out and recovering.
Thank you for sharing your story, wish you the best on wherever you may be going on that flight.


:congratulations:
Eric [bot]

Idiopathic CHF/ EF currently @ 53%, Low point 26%
St Jude ICD implanted 6/2008 Device changed 6/2009
1 Shock (innappropriate), ICD reprogramed 6/2010
Lead revision 3/2011 due to fractured lead
53 shock storm 4/21/2011 (Inappropriate)
ICD turned off May 20111 through 8/16/2011
Lead revision 8/16/2011
VT episodes starting in August 2012
ICD Changeout 2/25/2013 St. Jude Inspire Assura
Too many meds to count
Life is too short, live in the moment and make the best of it :)
Intro is here:http://www.icdsupportgroup.org/board/vi ... 271#p75271

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efpat
Posts: 488
Joined: July 29th, 2009, 6:50 pm
Location: New Jersey

Re: AV node ablation

Post by efpat » December 24th, 2013, 7:40 am

Dennis, Good for you. It sounds like you did your homework and made the right choice. I hope you continue to feel better.
Evan

Cardiomyopathy, LBBB, St. Jude Promote Plus CRT-D Installed Nov 9, 2009, QRS Duration - 180, EF - 25-30, EF NOW IS 50+!!!!!!

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xislandman2004
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Joined: May 24th, 2008, 7:17 pm
Location: Homosassa, Florida

Re: AV node ablation

Post by xislandman2004 » December 24th, 2013, 8:07 am

People who are bradycardia are paced to keep the heart rate at a level to make it efficient... ie. paced 100% otherwise without the pacemaker it could drop significantly but you would not die. You might be barely able to function until a new pacemaker was installed. In my case my heart was tachycardic and beating to fast and eventually it could beat itself to death as I died a miserable death from heart failure. We the destruction of the SA node the rapid heart rate originating in the atria can no longer speed up the ventricles. Thus the pacemaker is now controlling the rate and pumping action. Yes, if the pacemaker failed, I would not have long. However the tech and my doctor said in all the years they had never heard of a pacemaker suddenly failing. Battery wearing down, yes but that is normal. Regardless, I could not have lived much longer under the extreme conditions I was experiencing. I had a great night sleep and woke this morning to a BP of 106/68 and HR of 72. It was if I were dancing on a cloud. My coffee tasted like honey and the air like perfume... I have truly been given a new life and whatever risk is involved, it is well worth it. First day of the rest of my life my friends....
--dennis

Hypertrophic Cardiomyopathy - Heart failure
First ICD Medtronic 5/16/08
Pulmonary Vein Ablation 9/1/10
Second ICD Medtronic 5/8/12
AV Node ablation 12/23/13
Medtronic Viva CRT-D 4/14/14
Mitral valve replacement 7/14/15
plural and pericardia fluids (2.5 liters) drained 2/16


Coreg 12.5mg x 3


Coumadin 4.0 mg qd
Lasix 40mg x 2
Potassium 10 megs per 20 mg Lasix




Then the lie passed into history and became truth. - George Orwell 1984

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Jim and Sparky
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Joined: April 11th, 2011, 2:28 pm
Location: Wichita Kansas

Re: AV node ablation

Post by Jim and Sparky » December 24th, 2013, 12:45 pm

This is so fantastic to hear you are doing better!
An ablation is such a scary sounding procedure (at least to me). It's great to hear when it all works out well.

Best wishes,

Jim
MI 1/21/11; SCA's 2/3/11 and 2/4/11
I have a Boston Scientific Teligen ICD and a Boston Scientific Promus stent,
I guess my cardiologist is sort of a BS kind of guy.

Two rules to live by:
1) Don't sweat the small stuff!
2) It's all small stuff!


My Intro is on this page: http://www.icdsupportgroup.org/board/vi ... 917#p74917

Mary Kay
Posts: 1475
Joined: September 23rd, 2011, 10:57 am
Location: Oak View, CA

Re: AV node ablation

Post by Mary Kay » December 24th, 2013, 3:35 pm

Dennis, Thank you for the info, one of these days I'll be able to keep it all straight. I am very happy for you and what a great Christmas present.
:bananas:
CHF, Cardiomyopathy and LBBB
EF 20%
St. Jude Bi Vent ICD CRT implanted September 9, 2011
7 shock storm inappropriate due to dislodged lead
damaged lead removed and replaced Sept 26, 2011
EF improved to 50% in December 2012
Carvedilol 12.5 mg 2x
Ramipril 5 mg 2x

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xislandman2004
Posts: 1196
Joined: May 24th, 2008, 7:17 pm
Location: Homosassa, Florida

Re: AV node ablation

Post by xislandman2004 » December 27th, 2013, 8:31 am

This is the fifth day since my AV node ablation. It has been so amazing to have a rock solid heart beat in the ventricles with the pacemaker part of my ICD in charge. I think I have had a bit of atrial fibrillation during that time but do not feel it and the resulting atrial tachycardia cannot drive the ventricles. If I had any doubt of my decision to ablate the AV node, it has long passed my mind. In my opinion, if your atrial fibrillation and SVT cannot be ablated in the atrium, ie. pulmonary vein ablation, then this is the only way to go.
An added benefit is two of my meds dosage has been reduced by half. I will continue with Mexiletine as a preventative for any VT in the ventricles but that to may be reduced after my follow up in two months.
--dennis

Hypertrophic Cardiomyopathy - Heart failure
First ICD Medtronic 5/16/08
Pulmonary Vein Ablation 9/1/10
Second ICD Medtronic 5/8/12
AV Node ablation 12/23/13
Medtronic Viva CRT-D 4/14/14
Mitral valve replacement 7/14/15
plural and pericardia fluids (2.5 liters) drained 2/16


Coreg 12.5mg x 3


Coumadin 4.0 mg qd
Lasix 40mg x 2
Potassium 10 megs per 20 mg Lasix




Then the lie passed into history and became truth. - George Orwell 1984

Mary Kay
Posts: 1475
Joined: September 23rd, 2011, 10:57 am
Location: Oak View, CA

Re: AV node ablation

Post by Mary Kay » December 27th, 2013, 10:58 pm

Good news. So glad you are happy with your decision.
CHF, Cardiomyopathy and LBBB
EF 20%
St. Jude Bi Vent ICD CRT implanted September 9, 2011
7 shock storm inappropriate due to dislodged lead
damaged lead removed and replaced Sept 26, 2011
EF improved to 50% in December 2012
Carvedilol 12.5 mg 2x
Ramipril 5 mg 2x

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mrag
Posts: 4409
Joined: February 10th, 2009, 4:56 pm
Location: The Former Mushroom Capital of World when America was great

Re: AV node ablation

Post by mrag » December 28th, 2013, 4:39 pm

Dennis, you have not mentioned your doctor(s). Is this something you would say any EP could do? The general consensus here and my own experience has been, you ONLY WANT THE BEST, MOST EXPERIENCED FREAKING EP to do this type work. Anyone else and you are just asking for trouble. Would you agree? There are people that may think otherwise and I would not want them to learn the hard way if that might be the case.
"The greatest enemy of knowledge is not ignorance, it is the illusion of knowledge" S Hawking

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Ozchrissy
Posts: 7361
Joined: September 27th, 2008, 9:28 am
Location: Australian

Re: AV node ablation

Post by Ozchrissy » December 28th, 2013, 6:15 pm

Denis, this is the best description I think I have ever seen

It was if I were dancing on a cloud. My coffee tasted like honey and the air like perfume... I have truly been given a new life and whatever risk is involved, it is well worth it. First day of the rest of my life my friends....

_________________
--dennis



What a joy to see one of our own feeling like this. Enjoy your new life, it is truly a gift.
“I am not what happened to me, I am what I choose to become.” Carl Jung

Diagnosed with cardiomyopathy in 10/99
LBBB & VT diagnosed Feb 06
Guidant Biventricular Pacer ICD inserted Feb 06: Boston Scientific Incepta CRT-D inserted May, 2012
Oesophageal Cancer, 2012, Gall Bladder & Septicemia 2014 resulting in VFib and severe heart damage
Bare Metal Stent May, 2012 Mitral Valve replaced 2015
Meds: Entresto, Bicard, Coralan, Eurtorxsiq, Frusehexl, Spiractin, Sigmaxin, Creon, Warfarin,
Appropriate Shocks for Ventricular VFib.

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