ken37712
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ken37712, August 20,  2019  2:14am EST

Persistent AFib, next step after cardioversion

Hi: 

    I am in persistent AFib for about 9 months now. Had a cardioversion + Multaq a month ago, successfully converted but went back to AFib 3 days later.

   The next treatement options from my EP are:

1) AAD (Dofetilide) only - 50% success rate

2) Catheter Ablation (CA) - 50% success rate and very likely I have to be on some AAD

 

I like to get your feedback on:

1) Since #1 and #2 both are 50% success rate, then why would someone go with CA especially it may also need AAD.

2) Any other suggestion for treatment?

 

Thanks

4 Replies
  • Patio7
    Patio7, August 20,  2019  7:16am EST

    I have been on dofetilide for the last 18 months with almost no afib, or aflutter (two very short events months ago, resolved by themselves in minutes)after after months of almost constant afib and aflutter and failure on flecainide , rate meds, etc. My doc and I opted to try dofetilide before going the ablation route, and so far I am very happy. I can still have ablation if this fails but right now I am not messing with success.  I finally have my life back with no rate meds and only an anticoagulant and the dofetilide.🤞. We all are different but less is more if you can find that spot. Good luck.

  • ken37712
    ken37712, August 21,  2019  4:58am EST

    Thanks Patio7!

  • Thumper2
    Thumper2, August 21,  2019  7:36am EST

    Ken37712, I'd suggest you might try to find an EP whose ablation success rate is higher than 50%!  

    All the best,  Thumper2 (Judy)

  • ken37712
    ken37712, August 23,  2019  9:18pm EST

    Hi Judy:

       I was told the number is conservative and also generally success rate is typically lower for peristent/long-standing afib. 

    Just want to share. I was poking around the other day and found this in Cleveland clinic  website:

        ".... Nonetheless, patients with long-standing atrial fibrillation can be cured with a success rate of 50 to 70 percent, depending on their underlying heart disease and other factors."

     

     

    Ken

     

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