u/super_random56

Hi all. I'm getting an ablation tomorrow for pvcs in my RV. These PVCs are something I've known about for many many years but I've put off handling them. Over the last couple of years my burden has crept up to 25%. They're almost always firing and when I go to my heart doctor I can be in bigeminy or trigemony easily.

I'm going to a premier EP hospital, getting focal pulse field ablation. I'm nervous, but I know it's the right choice and my mind is playing tricks on me, trying to get me to second guess. It's tough when you don't know anyone who has gone or will go through the same thing.

Been putting it off because my EF is good, but I know it's time to address before it gets too much or damages my heart, going to handle it while I'm young and insurance is locked in.

Kind words or success stories will be nice to hear. Thanks everyone.

Hi Everyone,

I've had PVCs for close to 8 years, but they just recently spiked in burden. Over the course of the last 2 years they escalated from 10% to now 25%. I have no symptoms that I'm aware of other than palpitations and tiredness and the anxiety of wondering what's next or something "bad" happening.

My cardiac MRI is clean, and my ejection fractions are normal. They appear to be idiopathic PVCs.

I went to a respectable EP at a regionally recognized hospital who said that my PVCs were coming from the lower part of the right ventricle and that he could ablate to prevent cardiomyopathy and heart failure. He said he would use RF ablation and that there was a 75-85% chance of massive / near complete burden reduction. I asked about pulse field ablation and he said it's only FDA approved for afib and that he wouldn't use it right ventricle.

After this meeting, I went to a premier EP hospital for a second opinion. This doctor is highly regarded and the institution is frequently in the top 5 EP labs in the country. He said that my PVCs were coming from my moderator band and that since there are technical challenges with the moderator band moving he recommended using pulse field ablation (PFA) because it's faster and doesn't rely heavily on prolonged contact. He even went as far as to say that if he was getting this done for himself he would want PFA. I scheduled an ablation.

My PFA procedure is coming up in just over a month. Has anyone had a PFA? What were your experiences? The DR's explanation seemed rational but I know it would be an off label use. I'm trying to wrap my head around the benefits vs RF. My gut says it's better and the future of care but I'm wondering if I'm taking unnecessary risk.

Any insights would be much appreciated. I'll make sure to update the thread after the procedure.