First F/U after PM Monday

Surgeon who performed my pm surgery said my heart went in to tachy (SVT) during attachment. (I would think that would be normal) I had the pm due to loooonnnngg pauses not SVT.

I've had SVT for 15 yrs and under control w/ no caffeine etc.

He thinks we should do an eblation due to possiblity of hidden WPW....I have had that ruled out by many cardios in the past. I have gone up to 230 twice and had to go to ER to get the shot to stop my heart and it restarted back to normal rythym.
Anyone else have SVT and pm for pausing too??
I don't want to do another surgery...if my SVT is under control, think he just wants to do another surgery $$$ ??

4 Comments

SVT & Pacemaker

by scadnama - 2009-02-03 07:02:25

I had my pacemaker implanted for SSS and NCS.

A few months later I developed SVT's and other arrhythmia's. I think that some tachy is fairly common, it is just noticed more because our pacemakers record it. I ended up having to have 4 ablations to get my rhythm under control.

I'm surprised that he didn't offer you any meds. I am not an advocate for meds. or surgical procedures, but I would think that your doctor's first option would be to try a beta blocker or some other medication to keep your heart rate under control first, before going through with an ablation that may not even be neccessary.

Amanda

I got a new cardiologist in November

by BillMFl - 2009-02-03 07:02:41

When my ex Cardiologist suddenly (he had just added an EP to his office) decided I needed an immediate ablation because I was having somewhat frequent short runs of SVTs and PVCs. After 7 years of pooh poohing when I occasionally complained about them. Profit motive? I thought so. If you are having sustained runs that interfere with your ability to function or enjoy life, then yes but otherwise I don't think so.

Similar

by boatman50 - 2009-02-04 01:02:53

I had my checkup a few back and again they said I was having some SVTs in the night. The doc wanted to try some meds and I asked him if I really needed them. He said if it does not bother me then no I don't. I elected not to have them and they don't bother me.

Ablation vs Meds

by ElectricFrank - 2009-02-04 12:02:45

The upside of an ablation is that if it is successful you likely won't need meds. The downside is that if it isn't successful or causes other problems it's not reversible. For me this would be the over riding concern. I would never go for an ablation unless the problem is so bad that I couldn't function.

The downside to meds is that they tend to have nasty side effects. They are reversible, but it takes a strong willed person to get a doctor to stop them once started.

frank

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