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Did I mess up?


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david75248 Find out more about david75248
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  • Did I mess up?

    I just had a AV node ablation, and added a Boston Scientific Pacemaker, which controls my Ventricles, but will leave me in permanent Atrial Fibrillation. Did I mess up?
    I didn't really have much choice after my third ablation for AF, I had a kind if Atrial Fibrillation that also affected my Ventricles. I thought I was out of the woods after a Myectomy and Aortic valve replacement at Mayo clinic in 2014. Another doctor had me on Amioderone at the time, so no obvious arrhythmia's. Within six months I returned to AF that would take my ventricles up to 190+ bpm. I have had numerous Cardioversions for this affliction. I was taking Tikosyn and all was great, except all of the sudden...176 bpm... They cardioverted me again and sent me on my way... then less than 30 days 197 bpm.

    David in Pittsburgh

  • #2
    Hi David,

    My immediate comment is that I'm not sure it matters: you made a decision - and one that's certainly understandable - and now the question is how to go forward. Since there aren't any do-overs, revisiting the decision can't lead anywhere useful, I don't think.

    That said, I think I'd consider other alternatives first, like a MAZE procedure. But perhaps that wasn't practical. Did you have any afib ablations?

    Myectomy on Feb. 5, 2007.


    • #3
      Yes, this is true. No sense crying about spilled milk. I guess my question really was, is here still a way to overcome the permanent AF? Supposedly it's not a big problem, because ones ventricles are beating at a paced rhythm I don't see how you can get the best function however with your Atrials going off like that. Does someone have a better pacemaker that can work for all chambers?


      • #4
        I don't know, but I'd think a MAZE procedure might be considered.
        Myectomy on Feb. 5, 2007.


        • #5
          There are dual chamber pace makers that pace both the atria and ventricles ...... Whether they would be used with chronic afib or in your situation I have no idea. You said your myectomy was at Mayo.....Are you being followed there? Or where are you being followed for your afib? True, what is done is done....but it seems like you have unfinished business and unanswered questions. Maybe getting a second opinion with an EP cardiologist familiar with HCM would help you get the answers you need....Either at Mayo or another COE closer to home.
          After years of symptoms:
          Officially Diagnosed HOCM 2006
          Myectomy 3/11/13 at non-COE
          Extended Myectomy 7/23/14
          At Mayo with Dr. Joseph Dearani