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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Albation Or Pacemaker Implantation Better For Heart Issues?

I m having blood pressure and heart rate problems and was referred for a pacemaker. That physician recommended a cryo a-fib ablation instead. My BP goes up (systolic as high as 180 s, diastolic as high as 89) and I am on 2 BP meds. My heart rate varies widely, sometimes as high as 160 s, other times around 70. Activity escalates the problem, and I have both COPD and RA -- also compounding it. My question relates to the difference between a pacemaker and ablation --- which is better long term
Thu, 26 Jul 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Ablation is to remove the arrhythmia causing tissue or conduction fibre may prevent heart rhythm problems. Please check what they want to implant is it defibrillator or pace maker. I think from your history it may be a ICD. Both are good only but ICD device is useful to convert your rhythm in case of if you develop arrhythmia. It is invasive and future MRI angio and all not to be done to you. In ablation is less invasive chance to recurrence of arrhythmia. Please consult your cardiologist he will examine and advice right procedure to you.

Hope I have answered your query. Let me know if I can assist you further.
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Is Albation Or Pacemaker Implantation Better For Heart Issues?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Ablation is to remove the arrhythmia causing tissue or conduction fibre may prevent heart rhythm problems. Please check what they want to implant is it defibrillator or pace maker. I think from your history it may be a ICD. Both are good only but ICD device is useful to convert your rhythm in case of if you develop arrhythmia. It is invasive and future MRI angio and all not to be done to you. In ablation is less invasive chance to recurrence of arrhythmia. Please consult your cardiologist he will examine and advice right procedure to you. Hope I have answered your query. Let me know if I can assist you further.