“Surgical treatment through ablation is a therapeutic option that is now increasingly available in patients with atrial fibrillation (AF), even sometimes before antiarrhythmics, especially as two new studies show that this strategy is superior,” he said. explains Professor Frédéric Sacher, rhythmologist at Bordeaux University Hospital, as part of the action week on atrial fibrillation.
Small incisions in the heart tissue
Atrial fibrillation is a treacherous pathology because it is often silent, affecting 40 million people worldwide and 750,000 in France. This disease is characterized by an irregular and unusually fast heartbeat, which can lead to stroke.
During surgical heart removal, small incisions are made in the heart tissue at the atria (the upper chambers of the heart). By blocking the abnormal signaling pathway, these sections restore a normal heart rhythm. Previously, the incisions were made with a scalpel and then sewn up, which made the procedure complex and risky. But new cutting-edge techniques have made it possible to reduce the severity of the intervention and the risks associated with it.
Professor Frédéric Sacher specifies: “For people who have been fibrillating permanently for several years, surgical ablation treatment becomes more difficult. Surgical ablation treatment also means spending two or three hours on the operating table in a supine position, which can be a bit complicated. For old people.”
One week rest after the operation
“After surgery, patients must be monitored to avoid complications or relapses. The ultimate goal is to stop antiarrhythmics. Patients generally need a week’s rest when they return home, without special rehabilitation.” , terminates the care staff.
To be treated as effectively as possible, atrial fibrillation must be detected as early as possible as soon as the first symptoms appear, which can be a feeling of fatigue, palpitations, shortness of breath or even dizziness. More than 20% of strokes are linked to existing atrial fibrillation that can be detected and controlled. The weight of birth and tobacco are aggravating factors for the pathology.