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PatrickMac, June 3,  2021  3:00pm EST

AV Node Ablation

I have had persistent AFib for 10+ years.  I have had 3 ablations, 10 cardioversions, 2 stents, new pacemaker, numerous medications and am currently trying to decide if I need to undergo my "treatment of last resort", an AV Node Ablation.  I would appreciate any and all feedback from anyone who has had this procedure including rationale for making the decision, recovery times/problems, results, and most importantly, any changes to quality of life.  Thanks in advance - I really appreciate it.

2 Replies
  • AHAModerator
    AHAModerator, June 3,  2021  4:52pm EST

    Hi there,

    Thank you so much for sharing your experience with the MyAFibExperience Community. I am sorry to hear that you feel you may be approaching your "treatment of last resort," but it is important to remember this: You are not alone. As you continue to interact with others here in the community, I hope that you are able to foster a sense of solidarity and community. Unfortunately, I am not a medical professional, but I can share a few resources with you like this one about Non-surgical Procedures for Atrial Fibrillation, or this one on recovering from any heart-related surgery.

    Please keep us updated on how you are feeling!

    Best Wishes,

    AHA Moderator

  • Thumper2
    Thumper2, June 4,  2021  8:21am EST

    PatrickMac, your situation sounds much like what I faced, about 7 years ago.  For the preceding 10 years, I had been in AFib with few symptoms.  But my heart was slowly deteriorating, and by the time I got to an EP (rather than just a cardiologist), neither cardioversions nor ablations worked.  I got a "second opinion" at the Cleveland Clinic, but they did not have an option for me, so I chose the  AVNA+PDHBP (AV Nodal Ablation+Pacemaker Dependent His Bundle Pacing)  offered at the Guthrie Clinic in Sayre,PA,  and done by Dr. Pramod Deshmukh, who has published papers on this procedure.   That was in 2015, and it has been very successful for me.  The pacemaker is attached [literally ******* into) my heart's His Bundle, and it paces my ventricles at 70 bpm. I have not had any trouble with it.  My atria are still fibrillating but I never feel them.  The recovery time was minimal, I had no problems,and my quality of life has greatly improved.  I did have some SOB (shortness of breath), but with exercise, that has gone away.  Of course, it is never pleasant to recall that my life is directly dependent on a pacemaker, but it's a fact of life (and death) that one faces in many ways (I feel that way about driving/riding in a car,having lost so many relatives in auto accidents).   THis has been my experience -- if you have any other questions, please feel free to ask!   And keep us posted on what you decide!   All the best--

    Thumper2 (Judy)

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