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Heart Rhythm  (Expert Forum)
 | 
PSVT and ablation
Answered by
Michael J. McWilliams, M.D. - atrial fibrillation, Pacemakers, Defibrillators, Arrhythmias (SVT, VT), PVC/PAC, Ablation
Wilmington Health Associates Wilmington - NC
Questions in the Heart Rhythm forum are answered by Dr. Michael J. McWilliams. Topics covered include heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

PSVT and ablation

by darejobachjo, Nov 07, 2008 12:37PM
I am a 49 yo white female who has had psvt since I was 18. I started having to be given Adenicine to stop the episodes 8 years ago. I've been on cartiazim or toprol, (I switch back and forth every year of so) for the last three years. Lots of breakthroughs and QOL not so great. lots of weight gain from meds.  I finally ready to look at ablation seriously. I have rbbb and the EP said there's also another pathway that shoots off the lbb that is blocked --- brachia something or other. He said it he will have to be more careful. I don't want a pacemaker. I live in Western North Carolina. Where should I go to have this done? Who do you recommend. What other information can you offer? Thank you so very much for your consideration. Sharon Davis

by Michael J. McWilliams, M.D., Nov 07, 2008 08:23PM
It depends on where you mean in Western NC.  Joseph Souza is a respected electrophysiologist that trained at University of Michigan.  He works with Asheville Cardiology.  If your doctor does ablations, it is probably worth talking to them about it is as well.  Most ablation procedure relatively straight forward.  

http://asheville.cardiologydomain.com/handler.cfm?event=practice,template&cpid=14405

It sounds like you have significant symptoms and probably would benefit from an EP study and possible ablation.

This is a good patient reference for ablations.  It has many useful links and information.

http://www.uptodate.com/patients/content/topic.do?topicKey=~FccFO5IpxEbt7

It is on the patient education portion of the uptodate.com site.  The patient section is free.

Good luck with your procedure.
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