Sinus Node Ablation?

SI node ablation

by AgentX86 - 2020-03-03 09:11:48

From your bio I see that you already have a pacemaker but not sure what type, so that's not an issue. Morbitz Type-II, implies that you are or soon likely to be, pacemaker dependent.

From what I understand, SInode modification is experimental so under normal circumstances, I'd be very cautious here but this doesn't sound like a normal situation. 

The downside of this procedure is a totally dysfunctional SI node, which wouldn't leave you much, if any, worse off than you are now. You'd be trading relief from your IST chonotropic competency. To ME (I'm not a doctor), that sounds like a good trade. The upside is relief from IST, period.

In ANY CASE discuss the up and downsides with your EP at length. Make him tell you the whole story - both sides, long-term and in the short-term.

Ablation

by Debby - 2020-03-03 21:41:19

I was also wondering about ablation. I hate the thought of taking blood thinners forever..

Blood thinners

by AgentX86 - 2020-03-03 23:16:53

An ablation or paceaker, for that matter, doesn't necessitate anticoagulants.  Arrhythmias, in particular, atrial arrhythmias indicate the use of anticoagulants becaus of the turbulent blood flow in the heard.  There are places where the blood pools (the LAA accounts for 90% of clots - hence the Watchman).  An AV ablation and pacemaker don't correct an arrhythmia, so the need for continued anicoagulants.  I'd think an SI node ablation would be somewhat different since the whole point is to kill the cells responsible for the arrhythia.

Thanks

by Beattie - 2020-03-09 07:58:09

Thanks for your comments, really appreciate your thoughts. Unfortunately i seem to be one of those complicated patients that no one seems to know what to do with! 

I am to see my dr again soon so will see what happens...