Common "Cardiac Ablation" queries answered by top doctors | iCliniq

Cardiac Ablation

Cardiac ablation is a procedure used to scar small areas on the heart that involves in heart rhythm problems. During this procedure, electrodes are placed inside the heart to measure the electrical activity. When the source causing the problem is found, then the tissue causing the problem is destroyed. They are used by two methods - radiofrequency ablation that uses heat energy, and cryoablation that uses cold temperatures to resolve the issue.

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I am suffering from irregular heartbeat for a year. Please help.

Query: Hello doctor,I have been experiencing irregular heartbeat since a year. I consulted a doctor who suggested to undergo ECG (echocardiography) which I repeated after sometimes before taking any medicine. Thereafter, doctor asked to put me on a Holter, after that they transferred me for electrophysiol...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I have checked your report (attachment removed to protect the patient's identity). ECG (electrocardiogram) is normal. Please share Holter and echocardiography reports. Kindly share the electrophysiologic study report. Please share if you have any other underlying medi...  Read Full »

I have backache and chest discomfort following RF ablation. Why?

Query: Hello doctor, I am living with idiopathic RVOT NSVT for over ten years now. I had my RF ablation done a 20 days ago and my ectopic, NSVT episodes have come down by 90% and I am feeling healthy generally. I had my echo, ECG, Holter, cardiac MRI. Echo, cardiac MRI are normal. Cardiac MRI was done pos...  Read Full »

Dr. Amit Kumar

Answer: Hello, Welcome to I had gone through your all reports. (attachment removed to protect patient identity). Your holter monitoring suggestive of premature ventricular beats some time occasionally, sometime in bigeminy, other time in couplet or NSVT (nonsustained ventricular tachycardia)...  Read Full »

Will ablation helps to normalize the size of dilated atrium?

Query: Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120...  Read Full »

Dr. Naresh Kumar M.

Answer: Hello, Welcome to I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism pr...  Read Full »

Should I worry if I have a family history of HOCM?

Query: Hi doctor, I am a 25 year old woman. About three months ago, I started having ectopic beats and palpitations. It made me quite worried, because they were definitely something new. I have a family history of sudden death from hypertrophic cardiomyopathy. So, I decided to have an echo and a 24 hour Ho...  Read Full »

Dr. Mandurke Vivek Maroti

Answer: Hi, Welcome to As there is a family history of HOCM (hypertrophic obstructive cardiomyopathy) in the family and sudden death, you need to do echo yearly. Secondly, if symptomatic or left ventricular dysfunction is shown, then another option is to do ablation. So, find the focus and do ...  Read Full »

Will ablation for atrial tachycardia make my POTS syndrome worse?

Query: Hello doctor, I have had POTS syndrome for 5 years and recently had loop recorder implanted. I have been told that I have atrial tachycardia and need ablation. Will ablation make POTS worse?  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I assure you not to worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. No, cardiac ablation will not cause any derangements in your progressing disease of Postural Orthostatic Tachycardi...  Read Full »

My left side of the heart was found to have scar tissue after the ablation. Please help.

Query: Hi doctor,I had an ablation done, and they found scar tissue on the left side of the heart.Please help.Thank you.  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Ablation treats atrial fibrillation, but anticoagulants are continued for a long. Is the scar found on MRI? Please send your reports of MRI(magnetic resonance imaging), echocardiography, and ECG (electrocardiogram) so we can guide you accordingly. Also, tell your sympto...  Read Full »

Can stress cause atrial flutter?

Query: Hi doctor, I am a healthy individual with a normal sinus rhythm that I monitor twice daily. I had paroxysmal aflutter twice last year when I was stressed. I do not have comorbidities other than mild hypertension during the day. I take tablet Apixaban 5 mg twice daily and tablet Amlodipine 7.5 mg. My...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I read your query and can understand your concern. If the atrial aflutter is controlled on medicines, ablation is unnecessary. Ablation can be done if recurrent and bothersome symptoms are present despite medications. Ablation will not lessen the need for anticoagula...  Read Full »

Is ablation necessary for atrial flutter?

Query: Hi doctor, I have been diagnosed with atrial flutter. I have been in this condition three times in the last two years. This is flutter and not fibrillation. Two years ago, I was stuck in atrial flutter, for three weeks. After being on an anticoagulant for three weeks, I went through a successful el...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to Thanks for the detailed query and I have reviewed every aspect of it to come to a point of decision that may be better for you in the long run. The probability of getting unsure and unplanned episodes of atrial flutter seems to be high enough to warrant a procedural ablat...  Read Full »

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