What is Heart Ablation?

Introduction

Heart ablation, or catheter ablation, is a medical procedure used to treat certain heart rhythm disorders, known as arrhythmias. The procedure involves using heat (radiofrequency) or extreme cold (cryoablation) to destroy small areas of abnormal heart tissue that cause irregular heartbeats.

Why is Ablation Needed?

Ablation is commonly used to treat the following arrhythmias: - Atrial fibrillation (AFib) – The most common type of arrhythmia causing irregular and fast heartbeats. - Supraventricular tachycardia (SVT) – A rapid heart rhythm originating from the upper chambers of the heart. - Ventricular tachycardia (VT) – A fast heartbeat that arises from the lower chambers and can be life-threatening.

How is the Procedure Performed?

  1. A catheter (thin tube) is inserted through a vein, usually in the groin.
  2. The catheter is guided into the heart using X-ray imaging.
  3. Special electrodes detect abnormal electrical signals in the heart.
  4. Radiofrequency energy (heat) or cryotherapy (cold) is applied to the affected heart tissue.
  5. The damaged tissue stops sending abnormal electrical signals, allowing the heart to restore normal rhythm.

Benefits of Ablation

  • Reduces or eliminates the need for long-term medication.
  • Improves symptoms such as palpitations, dizziness, and shortness of breath.
  • Reduces the risk of complications related to untreated arrhythmias.

Risks and Considerations

While heart ablation is generally safe, potential risks include: - Bleeding or infection at the catheter insertion site. - Damage to normal heart tissue, which may require a pacemaker. - Blood clots that could lead to stroke (especially in AFib patients).

Conclusion

Heart ablation is an effective treatment for many types of arrhythmias. If you experience symptoms of irregular heartbeats, consult a cardiologist to determine if ablation is a suitable option.

Source recommendations

1. 2023 ESC Guidelines for the Management of Atrial Fibrillation

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/CVD-and-Diabetes-Guidelines
  4. https://www.jacc.org/doi/10.1016/j.jacc.2023.10.021
  5. https://pubmed.ncbi.nlm.nih.gov/32860505/

2. 2022 AHA/ACC/HRS Guideline for the Management of Patients with Ventricular Arrhythmias

  1. https://pubmed.ncbi.nlm.nih.gov/29084733/
  2. https://www.sciencedirect.com/science/article/pii/S2405500X22010945
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000550
  4. https://www.jacc.org/doi/10.1016/j.jacc.2017.10.053
  5. https://www.heartrhythmjournal.com/article/S1547-5271(17)31250-X/fulltext

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