bad surgery= pacemaker=av node burn

• by 2bouvmom
• 2014-12-16 01:12:18
• Complications
• 1205 views
• 0 comments

Hello. I am a new member and my husband is the one with the pacemaker. Very brief history: Husband is 62 - works ft fairly good health aside from health issues. Heart issues in family. he has non ischemic cardiomyopathy. small anuerym being monitored. . history of PVC's appx 30%. had ablation in 2009 but PVCs returned. Ablation suggested as ejection fraction is around 33-35% and thought was this could improve it. Went to Cleveland clinic in September for another one. at some point conductivity compromised during procedure and ICD implanted with 2 leads. while in recovery - conductivity returned. while in hospital it seemed ablation had worked. But at f/up last month, dr said that pvcs came back again at 30% and he says now he "knows where they are coming from. he suggests ablating the AV node. Question:
1) if the past 2 haven't helped why would this (why didn't he know during mapping where they were originating?
2) why not just leave it all be? ejection fraction holding for the past 7 years at this rate he has no symptoms.
3) what are risks of AV node ablation? wont he then be completely dependent on the ICD?
4) isn't the pacemaker helping him? I know his cardiologist was hoping he WOULD get one but she couldn't ok it b/c ejection fraction wasn't low enough and he had no sypmtoms so we were almost happy he got one implanted. but now not so sure.

we have apt with his cardio dr tomorrow - what should we be asking her so we can then go back to the electro doc with an answer. Thanks.