Cardiac ablation is a procedure performed for the correction of arrhythmias or heart rhythm problems. Cardiac ablation helps in the elimination or scarring of the heart tissue that is causing an arrhythmia. It helps in stopping the unusual electrical signals moving through the heart and causing an uneven heartbeat.
Types:
The different types of cardiac ablation are:
1. Catheter ablation:
Cardiac ablation is done in the following cases:
Supraventricular tachycardia (the heart beats much faster than its normal heart rate, starting above the two lower heart chambers)
Atrial flutter (when the upper chambers of the heart beat too rapidly)
Atrial fibrillation (a rapid, irregular heart rate causing a poor flow of blood)
Heart attack caused due to arrhythmia
Physical examination: The heartbeat of the patient is checked using a stethoscope. The patient’s symptoms, medical history, and family history are taken down.
Blood tests and urine tests: These tests help in checking for any underlying diseases or infections.
Chest x-ray, cardiac MRI, and cardiac CT angiography: These are imaging tests done to obtain clear images of the heart and the blood vessels in and around the heart.
Electrocardiogram (ECG): It helps in recording the electrical activity of the heart and checking if there are any heart problems.
Echocardiogram: Sound waves for creating images of the heart in motion.
Transesophageal echocardiogram: An ultrasound probe is placed down the throat to make sure that there are no blood clots present before cardiac ablation is performed.
The procedure for the different types of cardiac ablations are as follows:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
The different complications, depending on the type of procedure performed, may include:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
The post-procedure recovery and healing depend on the type of procedure performed. The post-procedure steps for each type of procedure are as follows:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
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Cardiac ablation is a procedure performed for the correction of arrhythmias or heart rhythm problems. Cardiac ablation helps in the elimination or scarring of the heart tissue that is causing an arrhythmia. It helps in stopping the unusual electrical signals moving through the heart and causing an uneven heartbeat.
Types:
The different types of cardiac ablation are:
1. Catheter ablation:
Long, thin tubes, known as catheters, are inserted into the blood vessels to destroy the disruptive cells in the heart.
This can be done by radiofrequency ablation (using radiofrequency energy similar to the heat from the microwave) or cryoablation (by freezing the tissues).
2. Surgical ablation:
This procedure is normally performed while a patient is having surgery for other heart problems.
It can be performed in the following different ways:
3. Hybrid surgical-catheter ablation:
This procedure combines catheter ablation and a mini maze procedure.
Cardiac ablation is done in the following cases:
Supraventricular tachycardia (the heart beats much faster than its normal heart rate, starting above the two lower heart chambers)
Atrial flutter (when the upper chambers of the heart beat too rapidly)
Atrial fibrillation (a rapid, irregular heart rate causing a poor flow of blood)
Heart attack caused due to arrhythmia
Physical examination: The heartbeat of the patient is checked using a stethoscope. The patient’s symptoms, medical history, and family history are taken down.
Blood tests and urine tests: These tests help in checking for any underlying diseases or infections.
Chest x-ray, cardiac MRI, and cardiac CT angiography: These are imaging tests done to obtain clear images of the heart and the blood vessels in and around the heart.
Electrocardiogram (ECG): It helps in recording the electrical activity of the heart and checking if there are any heart problems.
Echocardiogram: Sound waves for creating images of the heart in motion.
Transesophageal echocardiogram: An ultrasound probe is placed down the throat to make sure that there are no blood clots present before cardiac ablation is performed.
The procedure for the different types of cardiac ablations are as follows:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
The different complications, depending on the type of procedure performed, may include:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
The post-procedure recovery and healing depend on the type of procedure performed. The post-procedure steps for each type of procedure are as follows:
1. Catheter ablation:
2. Surgical ablation:
3. Hybrid surgical-catheter ablation:
Catheter ablation is a minimally invasive procedure used in the treatment of arrhythmia or irregular heartbeat caused due to atrial fibrillation. A catheter ablation works by sending radio waves to a specific part of the heart. These waves work by raising the temperature of the part of your heart that is causing the problem.
Catheter ablation is recommended as a last resort Atrial Fibration (AFib), only when conservative treatment methods have failed to reduce symptoms and the condition is interfering with your daily life.
Catheter ablation may also be recommended if drugs used to treat the underlying condition cause side effects severe enough for the drugs to be stopped.
First of all, you will need to visit the clinic or hospital where a nurse will provide you information about the procedure and the preparatory measures you will have to take – including what precautions you have to take before the procedure and what drugs and medications to take or avoid before the process.
On the day of the procedure, you will be taken into a prep area where you will have to sign a consent form and the accompanying nurse will answer any further doubts you may have regarding the procedure.
The procedure can take anywhere from 3-4 hours, depending on the patient’s condition and if any complications occur during the process. This time includes the time required to prepare the patient for the procedure. However, it excludes recovery time.
The procedure generally doesn’t make use of general anaesthesia, so you might be awake during most of the procedure. However, you will be in a phase called “twilight sleep” and may not remember anything from the procedure.
There might be some pain during the procedure, however severe pain will not be felt due to your dampened consciousness.
After the procedure, some residual pain may be felt, however it is usually controlled with narcotic or non-narcotic painkillers. Any remaining pain will subside over days to weeks following the procedure.
At the very least, you will need to stay in the hospital overnight after the procedure. You might be discharged the day after, if your doctor feels you are out of danger. However, if post-surgical complications develop, a prolonged hospital stay may be necessary to treat the complications.
Often, post-surgical atrial fibrillation persists in patients who have undergone catheter ablation. This is mostly because scar tissue takes about three to four months to develop and only after this period will the procedure be fully effective.
You will not be able to lift or pull anything or drive up to three days after the procedure. Pain and bruising at the site of the incision is common and may take a few days to heal.
Assessment of the patient’s condition is only done three months after the procedure as the effects are fully seen only after this period. In a follow-up appointment after three months, the doctor will be able to tell you how effective the procedure was.
In a small number of cases, the atrial fibrillation may be persistent, requiring a number of repeat procedures to treat the cause and reduce risk of complications.
However, in most cases, if the patient is in an overall healthy state, a single procedure is enough to treat the problem.
The cost of Cardiac Ablation in India varies across different cities and hospitals.
CITY | COST |
Cost of Cardiac Ablation in Mumbai | INR 200000- INR 250000 |
Cost of Cardiac Ablation in Bangalore | INR 190000- INR 240000 |
Cost of Cardiac Ablation in Delhi | INR 190000- INR 240000 |
Cost of Cardiac Ablation in Chennai | INR 180000- INR 230000 |
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