Debunking Myths About Atrial Fibrillation and Ablation in Adelaide, South Australia

jingxianquah
Mar 15
3 min read

Updated: Mar 26

Atrial fibrillation (AF) is the most common heart rhythm disorder, affecting millions of people worldwide, including many in Adelaide, South Australia. Despite its prevalence, there are many misconceptions about AF and its treatment, particularly regarding catheter ablation. As an electrophysiologist who performs AF ablations, I often hear these myths from patients. Let’s set the record straight and separate fact from fiction.

Myth 1: "Atrial Fibrillation is Just a Normal Part of Aging"

Fact: While AF is more common as we age, it is not an inevitable part of getting older. AF is a medical condition that requires attention and treatment. Untreated AF can lead to serious complications, such as stroke, heart failure, and a reduced quality of life. Early diagnosis and management are key to reducing the burden of atrial fibrillation, improving your quality of life and preventing these outcomes.

Myth 2: "Ablation is Too Risky"

Fact: Catheter ablation is a safe and well-established procedure for treating AF. While all medical procedures carry some risk, serious complications (e.g., bleeding, strokes, heart attacks, or damage to surrounding structures) are rare, occurring in less than 2% of cases. The benefits of ablation—such as reducing symptoms, improving quality of life, and potentially restoring normal rhythm—often outweigh the risks for many patients.

Myth 3: "Ablation is a Last Resort"

Fact: Ablation is not just a last resort. For many patients, especially those with symptomatic AF who have not responded well to medications, ablation can be the first line therapy and effective treatment option. Studies show that ablation can be more effective than medications alone in maintaining normal rhythm and reducing symptoms.

Myth 4: "Ablation is a Cure for AF"

Fact: While ablation can be highly effective, it is not always a cure. Success rates vary depending on factors such as the type of AF (paroxysmal vs. persistent), the duration of AF, and the presence of other medical conditions. Some patients may require repeat procedures or continue to need medications. However, many patients experience significant improvement in their symptoms and quality of life after ablation.

Myth 5: "I Don’t Need Anticoagulants if I Feel Fine"

Fact: Even if you feel fine, AF increases your risk of stroke. Anticoagulants (blood thinners) are often necessary to reduce this risk, regardless of whether you undergo ablation. Your doctor will assess your stroke risk using tools like the CHA₂DS₂-VA score to determine if anticoagulation is right for you.

Myth 6: "Ablation is Painful"

Fact: Ablation is performed under general anesthesia, so you won’t feel pain during the procedure. After the procedure, most patients experience only mild discomfort at the catheter insertion site, which typically resolves within a few days.

Myth 7: "I Can’t Live a Normal Life After Ablation"

Fact: Most patients return to their normal activities within a few days to a week after ablation. In fact, many patients feel better than before the procedure because their AF symptoms are reduced or eliminated. Regular follow-up with your doctor is important to monitor your progress and ensure the best outcomes.

Myth 8: "Ablation is Only for Younger Patients"

Fact: Age alone is not a barrier to ablation. Older patients can benefit from ablation just as much as younger patients, provided they are otherwise healthy enough for the procedure. Studies have shown that ablation is safe and effective in older adults, improving their quality of life and reducing AF-related complications.

Myth 9: "If My AF Comes Back After Ablation, the Procedure Failed"

Fact: It’s not uncommon for AF to recur after ablation, especially in the first few months (a period known as the "blanking period"). This doesn’t necessarily mean the procedure failed. Sometimes, additional treatments or a repeat ablation may be needed to achieve long-term success. Your doctor will work with you to develop a personalized plan.

Myth 10: "I Don’t Need to Make Lifestyle Changes After Ablation"

Fact: Lifestyle changes play a crucial role in managing AF and improving ablation outcomes. Weight loss, regular exercise, managing stress, and avoiding triggers like alcohol can help maintain normal rhythm and reduce the risk of AF recurrence.

Key Takeaways

AF is a serious condition that requires proper diagnosis and treatment.
Catheter ablation is a safe and effective option and can be the first line option for many patients, not just a last resort.
Ablation is not always a cure, but it can significantly improve symptoms and quality of life.
Lifestyle changes and adherence to medical advice are essential for long-term success.

Link for further reading: What to Expect During an Atrial Fibrillation Ablation: Goals, Risks, Recovery Timeline

Disclaimer: This post is for informational purposes only and should not replace professional medical advice. Always consult your healthcare provider for personalized guidance.

If you’re in Adelaide or South Australia and experiencing AF symptoms, contact us today to schedule a consultation with a heart rhythm specialist.