Catheter Ablation: Success Rates and Post-Procedure Concerns

Catheter ablation procedure

Hello, doctor! I have been diagnosed with an additional circuit in my heart, which sometimes causes my heart rate to exceed 150 beats per minute.
This has also led to persistent tinnitus and an increasing frequency of arrhythmias.
Therefore, the doctor recommended catheter ablation.
During the ablation procedure, I heard the attending physician mention that this particular nerve was difficult to manage, and various methods were used to identify the abnormal nerve.
However, I did not hear the doctor confirm that they found it.
I noticed the doctor seemed a bit impatient during the three-hour surgery.
Later, they inserted a needle into my groin and I heard another assistant respond with "58 degrees, 45 seconds." I felt a sense of unease when the doctor said they were done.
I asked the doctor if they found the nerve, and he replied that my nerve was ranked as the second most difficult to treat, and then mentioned a recurrence rate of 10%.
I feel like the doctor might be downplaying the situation because he seemed quite impatient during the procedure.
It has been a week since the surgery, and I still experience chest tightness and occasional episodes of arrhythmia, with my heart rate spiking to 120 beats per minute within just ten seconds.
Before the surgery, I did not have any chest pain, but now I feel a bit of pain during arrhythmias, and my throat feels slightly constricted.
Could you please tell me if the surgery was unsuccessful or if it has caused other symptoms?

Xiao Ming, 40~49 year old female. Ask Date: 2012/08/14

Dr. He Dongjin reply Cardiology

Could you please let me know which hospital and which doctor? Additionally, the cauterization only addresses the issue of a heart rate exceeding 150; it won't resolve other problems.
Based on your description, the subsequent symptoms seem to differ from the previous ones, which is concerning.
Let's conduct a 24-hour Holter monitor to further investigate.
Changhua Hospital cares about you.

Reply Date: 2012/08/14

More Info

Catheter ablation is a common procedure used to treat certain types of arrhythmias, including those caused by abnormal electrical pathways in the heart. It involves threading a catheter through the blood vessels to the heart, where it can deliver energy (usually radiofrequency energy) to destroy the small areas of heart tissue that are causing the abnormal electrical signals.
From your description, it seems that your physician encountered some challenges during the procedure, particularly with a nerve that is considered difficult to treat. The fact that the physician mentioned a recurrence rate of 10% is important information. It indicates that while the procedure can be effective, there is still a possibility that the arrhythmia could return. This is not uncommon in cases where the arrhythmia is due to complex or difficult-to-access areas of the heart.

Post-procedure symptoms such as chest discomfort, palpitations, and a sensation of tightness in the throat can occur for several reasons. After catheter ablation, it is normal for patients to experience some degree of discomfort as the heart heals. The heart tissue may be irritated from the procedure, and it can take time for everything to settle down. However, persistent or worsening symptoms should not be ignored.

Here are some points to consider regarding your situation:
1. Healing Process: After catheter ablation, it can take several weeks for the heart to heal completely. During this time, it is not uncommon to experience some irregular heartbeats or sensations of discomfort. However, if these symptoms are severe or worsening, it is crucial to follow up with your physician.

2. Follow-Up Care: It is essential to have a follow-up appointment with your cardiologist. They can assess your symptoms, perform an electrocardiogram (ECG), and determine if further intervention is necessary. If you are experiencing significant chest pain or if your heart rate spikes frequently, you should seek medical attention promptly.

3. Communication with Your Doctor: If you felt that your physician was impatient or did not adequately address your concerns during the procedure, it is important to communicate this. You have the right to understand your diagnosis, the procedure, and the expected outcomes. If you feel that your questions were not answered satisfactorily, consider discussing this with your doctor or seeking a second opinion.

4. Managing Anxiety: It is natural to feel anxious after a procedure, especially when experiencing new or concerning symptoms. Consider discussing your feelings with a healthcare professional who can provide support and possibly recommend strategies for managing anxiety.

5. Lifestyle Modifications: Depending on your specific condition, your doctor may recommend lifestyle changes to help manage your heart health. This can include dietary changes, exercise, and stress management techniques.

In conclusion, while catheter ablation can be an effective treatment for arrhythmias, it is essential to monitor your symptoms closely and maintain open communication with your healthcare provider. If you have ongoing concerns about your recovery or the effectiveness of the procedure, do not hesitate to seek further evaluation. Your health and peace of mind are paramount, and addressing these issues with your doctor is an important step in your recovery process.

Similar Q&A

Post-Catheterization Care: When to Seek Medical Attention for Heart Issues

Hello doctor, I would like to ask about my condition. I underwent catheter ablation approximately 19 years ago, but I haven't had regular follow-ups since the procedure. Recently, I've been experiencing occasional chest tightness and discomfort, and my heart rate someti...

Dr. Wu Xueming reply Cardiology
After undergoing catheter ablation, if symptoms persist, it is recommended to return to the hospital for a thorough examination.

Post-Cardiac Catheterization Recovery: Common Concerns and Questions

Dear Dr. Lin, I just had a catheter ablation procedure for atrial fibrillation last Friday, and the doctor said the surgery was very successful. I was discharged on Saturday, and since then, the arterial site has healed, with only significant bruising remaining, and bleeding has...

Dr. Lin Jixiong reply Cardiology
Hello: If there are no further occurrences of tachycardia after the electrocautery, and only occasional palpitations are experienced, this is not a concern. You can continue to monitor the situation. Dr. Lin Chi-Hsiung

Understanding Atrial Fibrillation: Ablation Surgery Risks and Consequences

Dear Dr. Tsai, Could you please explain how the catheter ablation procedure for arrhythmias is performed, and what the associated risks are? Additionally, what potential complications might arise if the procedure is not performed? Thank you very much for your attention. Best r...

Dr. Cai Jueren reply Family Medicine
Hello: Arrhythmias usually do not require special treatment. Most patients only need medication to control their arrhythmias when they cause discomfort. A small number of patients may experience particularly severe symptoms, such as frequent chest pain, shortness of breath, or re...

Understanding PSVT Ablation: Risks, Concerns, and Patient Insights

Hello, doctor. I am a patient with PSVT and have been dealing with it for about seven years. Recently, I discussed with my doctor about scheduling an ablation procedure. However, I am concerned because I have allergic rhinitis. I heard that during the ablation, the patient is awa...

Dr. Bu Shiyun reply Cardiology
The procedure of catheter ablation involves injecting near the neck and thigh, then guiding a catheter through the blood vessels to the heart to locate and treat the source of arrhythmia. This is done under local anesthesia, so activities like coughing or sneezing will not affect...