Questions to ask; second opinion

Heading to Cleveland Clinic for a second opinion on installation of dual-chamber Medtronic (do not know model) that would also include an AV Node ablation to treat (really, will just hide) "complicated, persistent, permanent a-fib" with "no disease or blockages".  Does anyone have any offers on what to ask this unknown doc? They have had a month to review my medical documents and cd's of procedures. Thanks all.

2 Comments

PM ?

by BillH - 2016-06-14 10:59:48

I would ask why the 2 chamber PM as they can't pace  the atria or use it to sync to the ventricle.  Possibly just to better monitor the AFIB, but that is only a guess.

The second is that with an AV node ablation you lose the natural increase in HR for increased activities. So you will depend on the rate response of the PM.

I would ask if the choses PM's rate response system is a good match to your activities.

 

Thanks

by Dmb4500 - 2016-07-04 08:52:02

Thank you BillH.  I am still struggling with next steps; Cleveland didn't agree with my Mich EP's assessment. 

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