Patient EXPERIENCE- Ablation

Mr D R: Longstanding Persistent AF ablation21/09/1951
RE: Ablation done on 18/12/2013

I am happy to contribute to the website.

I have the following to say. I had an irregular heart beat and when it was detected I was treated by means of cardioversion. This procedure was carried out five times over a period of two years. Obviously it was not successful. The longest my heart stayed regular after one of these procedures was 4 months.

Then on the 18/12/2013 the Ablation procedure was carried out by Dr. Maheshwar Pauriah at the Bon Secours Hospital and since then thank God my heart has stayed regular.

As a result my quality of life is turned around. I have way more energy specially when doing physical work such as cutting a hedge or digging the garden.

There are no restrictions on me in any way in daily life. Also I am not taking any tablets to help keep this ablation procedure going. I am also happy with that. I have no restriction in recommending this ablation procedure to anybody with an irregular heart beat.

Thanking You

Dr Pauriahs comments: Ablation for longstanding persistent atrial fibrillation. Patient is in sinus rythm more than 1 year off ALL medications. Ablation of longstanding persistent atrial fibrillation is the most difficult ablation as far as atrial fibrillation is concerned where the success rates are very low and there is huge differences between operators. We use a case by case approach to ablation- starting with the pulmonary veins, followed by complex fractionated atrial electrograms ( CFAE), followed by lines- roof line +/- mitral isthmus line +/- cavo-tricuspid isthmus line.
Atrial fibrillation ablation is not for everybody. Patient selection is very important. *****************************************************************************************************************************************************

DM- Left Ventricular Ectopic Ablation

Dear Dr Maheshwar Pauriah,

I felt it right to drop you a line.

We all know what it’s like to be in poor health but having a heart problem is up there at the top.After my first consultation with you it was quite upsetting to find out that I had a massive 20,000 extra irregular heart beats a day but even at that point I felt confident after leaving your clinic and making the decision to go for the Cardiac Ablation procedure.

The moment I entered the Bon Secours hospital I felt people cared and the professionalism was second to none.

Being awake during the operation was an experience but the whole procedure was fine and I think people should know how controlled things are and it was obvious that all precautions were taken and I felt safe.

The aftercare again was great but what stood out for me was that you met up with me 4 times before I was discharged after checking the monitors, echos etc.

After being monitored 7 weeks later the results were amazing and now down to 50 extra beats a day a reduction of 19,950!! beats a day.

I was looking at medication for the rest of my life and im only 45 but thanks to you and your team that’s no longer required.

I would definitely recommend this treatment and with your expertise it’s a winning team!!

Thanks to you and your team!!

Kind Regards

DM
Mallow
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“In early 2012, I awoke to the sensation of Heart palpitations and Chest pressure reflective of a small weight on same. I presented to the Bons Secours Hospital ,Cork where I was immediately monitored and assessed as being AFIB. Following Diagnosis, Treatment was agreed in the hope of returning my Heart to its normal Rhythmic pattern. This treatment was by way of Medication and Non-intrusive. Whilst my condition improved, I had 2 relapses to AFIB over the following 18 MThs. I was advised that such a recurrence could happen and therefore avoided undue worry throughout.

I was referred, within the Team, to Mr Mahesh Pauriah in 2014 where it was proposed that I undertake the procedure of Ablation. Treatment & Procedure were clearly and succinctly outlined to me . I had the Ablation procedure completed in March/April 2014 and following which I have had no re-occurrence of such symptoms.

My experience throughout this “Journey”, whilst concerning, was always countered by the knowledge that I was in the hands of an extremely professional, competent & capable Team. From the Surgical Team to the Nursing Staff I was struck by their attention, responsiveness and disclosure of all detail of my condition and treatment.”

Ablation of Persistent Atrial Fibrillation

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Longstang AF Ablation

Frank O’ Sullivan – 64 yrs
“I have had atrial fibrillation for about five years but it wasn’t diagnosed until late 2012. I suffered from a lack of energy and tiredness despite an active lifestyle. Matters came to head in November 2012. I was unable to keep pace with my wife on a hiking holiday.

I went to my GP for a check up and he diagnosed AF. He referred me to a cardiologist and I had a Cardioversion in early 2013. This worked for a time, but I soon lapsed back into AF. It was then hoped medication would regulate and control my heart beat. This was not successful.

I returned to my GP to discuss my options. He recommend Dr Maheshwar Pauriah, Cardiologist and Electrophysiologist at Cork Bons Secours hospital. Dr Mahesh arranged several tests including an angiogram and pulmonary test, which I hadn’t had previously. He suggested I consider a catheter ablation. He performed in October 2014. It has significantly improved my lifestyle. I am again enjoying cycling, tennis and a good long day working in the garden. I underestimated the benefit of ablation and would recommend it to other suitable patients.”

Dr Pauriahs comments: Ablation for Af is not for everybody- therefore patient selection is very important. Frank is in SR as of last visit at the end of February.
Ablation of longstanding persistent atrial fibrillation is the most difficult ablation as far as atrial fibrillation is concerned where the success rates are very low and there is huge differences between operators. We use a case by case approach to ablation- starting with the pulmonary veins, followed by complex fractionated atrial electrograms ( CFAE), followed by lines- roof line +/- mitral isthmus line +/- cavo-tricuspid isthmus line.

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pat

My name is Paddy Ahern. I am 48 years old. I had Afib for six years. Despite many different medications and several cardio versions I was still in Afib. In October 2013 I was referred to Dr. Maheshwar. He recommended the Ablation procedure to me. He explained it to me in great detail. I had 2 Ablations, one on each side of my heart in November and December 2013. I felt so good when I was back in normal rhythm. I had a few episodes of going back to Afib but Dr Maheshwar was always on hand with advice. After a few weeks my heart settled down,as Dr Maheshwar said it would.
I feel so well and have got my life back. I would really recommend the Ablation procedure.

Dr Pauriahs comment: Mr Ahern had atrial flutter and persistent atrial fibrillation ablation. He is in sinus rythm 1 year post ablation- off all drugs
Ablation of longstanding persistent atrial fibrillation is the most difficult ablation as far as atrial fibrillation is concerned where the success rates are very low and there is huge differences between operators. We use a case by case approach to ablation- starting with the pulmonary veins, followed by complex fractionated atrial electrograms ( CFAE), followed by lines- roof line +/- mitral isthmus line +/- cavo-tricuspid isthmus line.

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My name is Mary Mullen,
I suffered irregular heart beats for a number of years. It got worse over the past two years and only in the past year I decided to take some advise on the condition.

I was started on treatment and that worked well for a short while.

On August 23rd 2015 I suffered a very severe Heart condition and had to be taken to hospital by Ambulance. I was taken straight to resuscitation and spend the night there. Thanks to all the staff there I survived the trauma

Following that I was referred to Dr Maheshwar in the Mater Private Hospital, Mahon, Cork. He advised Ablation procedure and arranged for my admission to the Mater Private Hospital

Because of the nature of the procedure and also because I was going to be awake for the duration which took approx three hours I was absolutely terrified.

There was no need to be terrified. I was awake but nicely sedated. As the procedure was going on Dr Maheshwar came up to the head of the trolley regularly to assure me everything was going well. To me that was fantastic care as it helped me to relax and gave me confidence.

The aftercare was so perfect. Dr Maheshwar and Dr Margey came to my hospital room several times as well of course the Nursing care was excellent

I have been so well since then where my Heart is concerned, no palpitations, no extra Heart beats and no irregular Heart beats.

Thank you so much Dr Maheshwar and Dr Margey. I know you are at the other end of the phone anytime I might need you.

You are a great team