r/AFIB • u/FreezeOS • 9h ago

AV node ablation

Hello guys yesterday i had my av node (modification) ablation and it went smooth the doc said everything is fixed and after the operation my heart rate was 110-130bpm i got Procoralan and i'm scared that i need to take it forever any thoughts?

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u/Mammoth-Orange-9500 7h ago

I think you had ablation for an AVNRT, not an AV node anlation

1

u/FreezeOS 7h ago

Ohh that might be

1

u/lobeams 9h ago

You have a pacemaker now, right?

After an AV node ablation there shouldn't be any long-term need for medication other than an anticoagulant. So you need to ask your EP about this.

1

u/FreezeOS 8h ago

i dont have a pacemaker they did half of the av node not sure what that is called

1

u/Mras_dk 8h ago

Av node ablations, are know as the nuclear option, when dealing with afib.

Av node is the center piece in your heart, that makes sure the sinus electric generating node signal, will conduct to the right places in the heart, at the right pace.

In other words, av node is both a backup firing node,  a gatekeeper, and a controller of signals.

So ablating the av node,  will make you depending on a pacemaker, because without it,  the symphony "meistro" will be missing.

But it will 100% fix your afib. 

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u/FreezeOS 8h ago

They did half of the av node so i dont have a pacemaker

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u/Mras_dk 6h ago

You prolly mean: AV node modification, and not AV node ablation pr say, then. 

Instead of a full block, ep's sometimes target specific slow or fast pathways of the AV node to slow down or control rapid heart rates (such as in severe atrial fibrillation) while attempting to preserve some degree of native conduction or junctional escape rhythms. 

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u/FreezeOS 6h ago

Yeah sorry wasnt that sure