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Re: Second Ablation

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on Sat, 1 Nov 2003 at 14:08:51, friday11uk

wrote :

>Results? Well I managed 36 hours with a NSR and then went from

>ectopics, to a fast rate and into afib for some 18 hours. This has

>now cleared itself and I am in NSR (checks pulse again!) yes...NSR.

>The Cardiologist has said this is relatively normal and I have hopes

>that the second treatment has done the trick.

Bob,

I am sure all of us who have also had successful ablations wish you all

the best. What you described seems to be quite normal - I think it is

becoming sensible to think of ablation as unlikely to be complete in a

single-procedure - I think everyone I know who has had a successful one

has had 2 or even 3 sessions on the table - but a bonus if you only need

one session.

>For those contemplating an ablation, it must be one of the more

>pleasant medical jobs.

Agreed!

>The most uncomfortable part was getting a

>canular into the back of my hand.

On my 2nd one they put it in my upper arm! Much less painful

Best of health to all,

Vicky

London, UK, 1954 model

" Nothing in life is to be feared.

It is only to be understood " - Marie Curie

--------------------------------------------------------------------------------\

-------------

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Bob, take heart

I still get some ectopics after two years but I have remained in NSR> Are you

sure your sfib was afib and not a bad run of ectopics. I was informed that the

heart goes crazy after an ablation and it take at least 6 months to settle down.

Can you expand of where you had your ablation and who done it in London.

C UK

The first ablation of three pulmonary veins took place in London on

the 7th August. Unfortunately without curing afib.

I underwent the second ablation on the 29th October.It took a little

longer this time, about three and a half hours, and I was certainly

more sedated and remember little of the events in the theatre.

Afterwards I was told that a couple of the veins had " healed " and

were permitting some electrical conductivity. These were ablated

again. Additionally the right atrium was " mazed " which was referred

to as a simple and quick procedure.

Results? Well I managed 36 hours with a NSR and then went from

ectopics, to a fast rate and into afib for some 18 hours. This has

now cleared itself and I am in NSR (checks pulse again!) yes...NSR.

The Cardiologist has said this is relatively normal and I have hopes

that the second treatment has done the trick.

For those contemplating an ablation, it must be one of the more

pleasant medical jobs. The most uncomfortable part was getting a

canular into the back of my hand. During the procedure I can remember

feeling a little burning sensation for a few seconds in the chest,

but not much worse than heart-burn.

The following day I felt rather tired and disorientated (probably the

valium and pethedine effect) My chest felt a little tender and the

two groin entry points a little tender to the touch.

But otherwise...feeling great. I will report back over the critical

four weeks to come.

Bob

Web Page - http://groups.yahoo.com/group/AFIBsupport

FAQ - http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

For more information: http://www.dialsolutions.com/af

Unsubscribe: AFIBsupport-unsubscribe

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

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> Can you expand of where you had your ablation and who done it in

London.

Thanks for the comments . I had both ablations at the London

Bridge Hospital (next to Guy's and St ') by Dr Jaswinder Gill.

A brief 15 min run of afib this morning but otherwise, remaining in

NSR with the odd ectopic.

>

>

**********************************************************************

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  • 1 month later...

Dear Bob,

Congratulations. We hope and pray eveerything works out for you.

Who did your ablation? Where was it done? We are always getting people from

England who are trying to find someone to do a Pulmonary Vein Ablation

procedure. I never know who to refer them to.

A-FibFriendSteve

Second Ablation

The first ablation of three pulmonary veins took place in London on

the 7th August. Unfortunately without curing afib.

I underwent the second ablation on the 29th October.It took a little

longer this time, about three and a half hours, and I was certainly

more sedated and remember little of the events in the theatre.

Afterwards I was told that a couple of the veins had " healed " and

were permitting some electrical conductivity. These were ablated

again. Additionally the right atrium was " mazed " which was referred

to as a simple and quick procedure.

Results? Well I managed 36 hours with a NSR and then went from

ectopics, to a fast rate and into afib for some 18 hours. This has

now cleared itself and I am in NSR (checks pulse again!) yes...NSR.

The Cardiologist has said this is relatively normal and I have hopes

that the second treatment has done the trick.

For those contemplating an ablation, it must be one of the more

pleasant medical jobs. The most uncomfortable part was getting a

canular into the back of my hand. During the procedure I can remember

feeling a little burning sensation for a few seconds in the chest,

but not much worse than heart-burn.

The following day I felt rather tired and disorientated (probably the

valium and pethedine effect) My chest felt a little tender and the

two groin entry points a little tender to the touch.

But otherwise...feeling great. I will report back over the critical

four weeks to come.

Bob

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HI Bob, can we have the name of the Dr and the Hospital you

were in. Its seems very difficult for Uk patients to find out

who and where to go for help.

C Uk

>

>Dear Bob,

> Congratulations. We hope and pray eveerything works out

for you.

> Who did your ablation? Where was it done? We are always

getting people from England who are trying to find someone to

do a Pulmonary Vein Ablation procedure. I never know who to

refer them to.

>A-FibFriendSteve

>

> Second Ablation

>

>

> The first ablation of three pulmonary veins took place in

London on

> the 7th August. Unfortunately without curing afib.

> I underwent the second ablation on the 29th October.It

took a little

> longer this time, about three and a half hours, and I was

certainly

> more sedated and remember little of the events in the

theatre.

> Afterwards I was told that a couple of the veins

had " healed " and

> were permitting some electrical conductivity. These were

ablated

> again. Additionally the right atrium was " mazed " which was

referred

> to as a simple and quick procedure.

>

> Results? Well I managed 36 hours with a NSR and then went

from

> ectopics, to a fast rate and into afib for some 18 hours.

This has

> now cleared itself and I am in NSR (checks pulse again!)

yes...NSR.

> The Cardiologist has said this is relatively normal and I

have hopes

> that the second treatment has done the trick.

>

> For those contemplating an ablation, it must be one of the

more

> pleasant medical jobs. The most uncomfortable part was

getting a

> canular into the back of my hand. During the procedure I

can remember

> feeling a little burning sensation for a few seconds in

the chest,

> but not much worse than heart-burn.

>

> The following day I felt rather tired and disorientated

(probably the

> valium and pethedine effect) My chest felt a little tender

and the

> two groin entry points a little tender to the touch.

> But otherwise...feeling great. I will report back over the

critical

> four weeks to come.

>

>

> Bob

>

>

>

>

>

>

> >

>

Codling

Hornchurch Essex England

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Yes I have heard of this guy, seems to be doing all the right

things

Good luck and four months is aobut right ot find out if the

ablation has worked.

C

---- Original message ----

>Date: Wed, 24 Dec 2003 21:21:09 -0000

>

>Subject: Re: Second Ablation

>To: AFIBsupport

>

>- certainly ,

>I was treated by Dr J.S.Gill at the London Bridge (Bupa were

paying).

>He normally works at Guy's and ' Hospital for his NHS

patients.

>He is very conservative in his assessment of what success he

can

>offer and is a delight to consult with.

>

>You may have caught my post about a month ago where I saw

him again.

>He is keeping me on Sotalol and Warfarin until ablation plus

four

>months to allow my heart to re-model itself.

>

>Now two months in NSR and counting!

>

>Bob

>

>

>> HI Bob, can we have the name of the Dr and the Hospital

you

>> were in. Its seems very difficult for Uk patients to find

out

>> who and where to go for help.

>>

>> C Uk

>

>

>

>Web Page - http://groups.yahoo.com/group/AFIBsupport

>FAQ -

http://groups.yahoo.com/group/AFIBsupport/files/Administrative

/faq.htm

>For more information: http://www.dialsolutions.com/af

>Unsubscribe: AFIBsupport-unsubscribe

>List owner: AFIBsupport-owner

>For help on how to use the group, including how to drive it

via email,

>send a blank email to AFIBsupport-help

>

>Nothing in this message should be considered as medical

advice, or should be acted upon without consultation with

one's physician.

>

>

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When your in AF for an amout of time or in chronic af you

atria changes shape. not by that much but enough to put the

electrical signals out of step. When you go back into NSR you

heart changes back to the normal shape not excatly depending

on how much damge you have done but it changes back into the

normal mode.

C Uk

---- Original message ----

>Date: Wed, 24 Dec 2003 21:45:57 -0000

>

>Subject: Re: Re: Second Ablation

>To: <AFIBsupport >

>

>Hi Bob

>

>What happens when the heart re-models itself.

>

>.

> Re: Second Ablation

>

>

> - certainly ,

> I was treated by Dr J.S.Gill at the London Bridge (Bupa

were paying).

> He normally works at Guy's and ' Hospital for his

NHS patients.

> He is very conservative in his assessment of what success

he can

> offer and is a delight to consult with.

>

> You may have caught my post about a month ago where I saw

him again.

> He is keeping me on Sotalol and Warfarin until ablation

plus four

> months to allow my heart to re-model itself.

>

> Now two months in NSR and counting!

>

> Bob

>

>

> > HI Bob, can we have the name of the Dr and the Hospital

you

> > were in. Its seems very difficult for Uk patients to

find out

> > who and where to go for help.

> >

> > C Uk

>

>

>

>

> Web Page - http://groups.yahoo.com/group/AFIBsupport

> FAQ -

http://groups.yahoo.com/group/AFIBsupport/files/Administrative

/faq.htm

> For more information: http://www.dialsolutions.com/af

> Unsubscribe: AFIBsupport-unsubscribe

> List owner: AFIBsupport-owner

> For help on how to use the group, including how to drive

it via email,

> send a blank email to AFIBsupport-help

>

> Nothing in this message should be considered as medical

advice, or should be acted upon without consultation with

one's physician.

>

>

>

>-------------------------------------------------------------

-----------------

>

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Hi Bob

The way I understand it , is the heart changes shape..whether this is good or

bad is unclear but as I`m in permanent af I would like to think that the chances

of returning to NSR would be better if the old ticker stayed the same shape.

I`m sure someone out there can clarify this question

Re: Second Ablation

,

I guess that the heart will then be more likely to remain in NSR as

it will recognise that as being the norm.

Bob

> Hi Bob

>

> What happens when the heart re-models itself.

>

> .

Web Page - http://groups.yahoo.com/group/AFIBsupport

FAQ - http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

For more information: http://www.dialsolutions.com/af

Unsubscribe: AFIBsupport-unsubscribe

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

------------------------------------------------------------------------------

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Hi Bob. yep you are right the longer you are in Afib the more

it changes shape.. This is called remodelling. Now for some

patients this is fine and they feel really well, with the

exception of feeling a little short of breath with some minor

exercise.

Now for those of us that feel unwell , which I estimate is 90

% of the board otherwise they would not be here?( is this

assumption correct).

The heart changes make the firing of the electrical impulses

react in a different manner and does not help with the NSR.

Now if you have the AF problems resolved then your heart will

not go into Afib but you will find after the PVA or what ever

procedure you are having there will be a period of extreme

trauma as the heart remodels back to normality.

I was told I would regain 30 50 % of normal heart shape.

C Uk

> Hi Bob

> The way I understand it , is the heart changes

shape..whether this is good or bad is unclear but as I`m in

permanent af I would like to think that the chances of

returning to NSR would be better if the old ticker stayed the

same shape.

>

>

Codling

Hornchurch Essex England

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- You may be right about the 90 percent. But there are at least a few of

us -- like in Seattle -- who hang around to be helpful and to keep on

learning. Guess Ellen would fall into that category too. I've been in NSR

since August and hope (but wouldn't bet a lot on the prospect) to stay that way.

But even before the August cardioversion, I was one of those chronic afibbers

who was symptom free for the most part. That didn't keep me from wanting to

know all I could about what the hell was wrong with me. Of course I was not

symptom free when first diagnosed -- scared half to death was more like it.

Rate control worked wonders for me.

Ed

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  • 3 weeks later...

Dear ,

Physically the atria enlarge, weaken, and lose their ability to pump well.

The heart develops fibrosis. Electrically A-Fib episodes tend to get longer,

more frequent, and stronger, eventually tending towards Chronic (all-the-time)

A-Fib. But Dr. Pappone's long term studies (three years) indicate that some

aspects of remodeling can be reversed after patients are cured by a PVA(I).

A-FibFriendSteve

Re: Second Ablation

- certainly ,

I was treated by Dr J.S.Gill at the London Bridge (Bupa were paying).

He normally works at Guy's and ' Hospital for his NHS patients.

He is very conservative in his assessment of what success he can

offer and is a delight to consult with.

You may have caught my post about a month ago where I saw him again.

He is keeping me on Sotalol and Warfarin until ablation plus four

months to allow my heart to re-model itself.

Now two months in NSR and counting!

Bob

> HI Bob, can we have the name of the Dr and the Hospital you

> were in. Its seems very difficult for Uk patients to find out

> who and where to go for help.

>

> C Uk

Web Page - http://groups.yahoo.com/group/AFIBsupport

FAQ - http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

For more information: http://www.dialsolutions.com/af

Unsubscribe: AFIBsupport-unsubscribe

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

------------------------------------------------------------------------------

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Steve, that doesn't sound very good for people that choose rate

control over rhythm control. I thought the AFFIRM trial said there

was no difference between either choice?

<<atria enlarge, weaken, and lose their ability to pump well. The

heart develops fibrosis. Electrically A-Fib episodes tend to get

longer, more frequent, and stronger>> that doesn't sound like

something I'd go for.

P

......................................................................

> Dear ,

> Physically the atria enlarge, weaken, and lose their ability to

pump well. The heart develops fibrosis. Electrically A-Fib episodes

tend to get longer, more frequent, and stronger, eventually tending

towards Chronic (all-the-time) A-Fib. But Dr. Pappone's long term

studies (three years) indicate that some aspects of remodeling can be

reversed after patients are cured by a PVA(I).

> A-FibFriendSteve

> Re: Second Ablation

>

>

> - certainly ,

> I was treated by Dr J.S.Gill at the London Bridge (Bupa were

paying).

> He normally works at Guy's and ' Hospital for his NHS

patients.

> He is very conservative in his assessment of what success he

can

> offer and is a delight to consult with.

>

> You may have caught my post about a month ago where I saw him

again.

> He is keeping me on Sotalol and Warfarin until ablation plus

four

> months to allow my heart to re-model itself.

>

> Now two months in NSR and counting!

>

> Bob

>

>

> > HI Bob, can we have the name of the Dr and the Hospital you

> > were in. Its seems very difficult for Uk patients to find out

> > who and where to go for help.

> >

> > C Uk

>

>

>

>

> Web Page - http://groups.yahoo.com/group/AFIBsupport

> FAQ -

http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

> For more information: http://www.dialsolutions.com/af

> Unsubscribe: AFIBsupport-unsubscribe

> List owner: AFIBsupport-owner

> For help on how to use the group, including how to drive it via

email,

> send a blank email to AFIBsupport-help

>

> Nothing in this message should be considered as medical advice,

or should be acted upon without consultation with one's physician.

>

>

>

> ------------------------------------------------------------------

------------

>

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> From: Steve

> Date: 1/13/04, 9:27 AM -0500

>

> Dear ,

> Physically the atria enlarge, weaken, and

> lose their ability to pump well. [snip] But

> Dr. Pappone's long term studies (three years)

> indicate that some aspects of remodeling can be

> reversed after patients are cured by a PVA(I).

> A-FibFriendSteve

> Re: Re: Second Ablation

>

>

> Hi Bob

>

> What happens when the heart re-models itself.

Snip - 3915 characters on 125 lines, mostly three footers.

How fast do the atria lose their ability to pump well?

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