“Surgical treatment by ablation is a therapeutic option that is now increasingly available in patients with atrial fibrillation (AF), even sometimes before anti-rhythmic, especially as two new studies show this strategy to be superior”, Professor Frédéric Sacher, a rhythmologist at University Hospital Bordeaux, explains as part of the action week on atrial fibrillation.
Small cuts in heart tissue
Atrial fibrillation is a betrayal pathology because it is often silent, affecting 40 million people worldwide and 750,000 in France. This disorder is characterized by an irregular and unusually rapid heartbeat, which can lead to a stroke.
During surgical cardiac removal, small cuts are made in the heart tissue in the atria (upper chambers of the heart). By blocking the abnormal signaling pathway, these breaks restore the normal rhythm of the heart. Prior to this, the cuts were made with a scalpel and then stitched up, which made the procedure complicated and dangerous. But the new incision techniques have made it possible to reduce the degree of difficulty of the intervention and the risks associated with it.
Professor Frédéric Sacher notes: “For people who have undergone permanent fibrillation for several years, surgical ablation treatment becomes more difficult. Surgical ablation treatment also involves spending two to three hours on the operating table in a lying position, which can be a bit complicated for old people “.
A week’s rest after the operation
“After surgery, patients must be monitored to avoid complications or recurrences. The ultimate goal is to prevent antimicrobials. Patients generally need a week’s rest when they return home, without special recovery.” , ends the healthcare professional.
To be treated as effectively as possible, atrial fibrillation must be detected as early as possible, as soon as the first symptoms appear, which may be a feeling of tiredness, palpitations, shortness of breath or even dizziness. More than 20% of strokes are associated with pre-existing atrial fibrillation that could be detected and controlled. Weight at birth and tobacco are aggravating factors of the pathology.