Atrial Fibrillation: Should You Say No To Non-emergency Pacemaker Ablation for A-Fib?

Majid Ali, M.D.


Should You Say No To Non-emergency permanent destruction of your heart’s Pacemaker Radio-ablation for A-Fib? This is what the question in the title means? These questions can only be answered by an individual facing the decision to have or not to have complete destruction of the heart’s pacemaker by radio-ablation (zapped and destroyed permanently with a radio-frequency procedure). Concerns about heart rhythm problems must always be taken earnestly. And yet, it is important to know if one has an option to a life-long dependence on an external pace-maker, which will need to be replaced periodically. Decisions of consequence require diligent consideration of all available information.

What Is A-Fib?

A-fib (short for atrial fibrillation) is the most common type of irregular heart rhythm. The risk of developing A-fib increases with age, such that 8% of people over 80 have it. It usually develops when deep disappointments, anger, or rage overdrive a heart stressed by nutrient deficiencies and an overload of toxins. The irregular heartbeat usually begins with episodes lasting from minutes to weeks. Unless the causes are identified and addressed, A-fib becomes chronic and leads to a small increase in the risk of death.

What Is the Failure Rate of Radio-ablation Procedure for A-fib?

Long-term recurrence rate of A-fib after the procedure is ten percent. That is one in ten chances that the procedure will not help long-term. There is also the matter of the complications of the procedure itself.

A Case Study

In 2007, a 47-year-old engineer was diagnosed with atrial fibrillation (A-fib). He also suffered from urinary frequency and a weakening of urinary stream. His cardiologist prescribed Inderal (a beta blocker drug to control the heart rhythm) and was told to consider radio-frequency ablation of his heart’s pacemaker for long-term control of the rhythm disturbance. He was resistant to that idea and consulted me for any other option. I explained that A-fib develops when the heart is overdriven by adrenaline and other stress molecules. Environmental triggers and toxins can perpetuate A-fib. Nutrients, certain herbs, gentle exercise, Limbic Breathing, and spiritual-ethical work can control the adrenaline overdrive and slow the heart. I also advised him to continue to take Inderal until he could make an informed decision. Then I examined him and prescribed an integrative program. I emphasized that he must view and re-view my 90-minute DVD program on heart health for a deeper knowledge. We agreed to meet two weeks later to discuss the matter of doing radio-ablation of his pacemaker again.

At the time of writing this article in the fall of 2011, he enjoys good health. He did not have the “radio-destruction” of pacemaker procedure. He is not taking any drugs.

Should You Say No to Drugs for A-fib?

A related question to the matter of radio-ablation for A-fib concerns the use of drugs for A-fib. Should You Say No to Angina Drugs? No, you should take A-fib drugs until you do not need them anymore. How will you know you do not need these drugs? When you can control A-fib and normalize the heart rhythm without drugs. Should you carry the medication even when you can prevent and control angina without them? Yes, that is a safe practice. Does that mean you will need to carry drugs forever? No, most individuals who take the road to learning, understanding, knowing, and liberating themselves from fears and anger eventually reach a place where angina drugs are not necessary anymore.

Is it not dangerous to talk about discontinuing drugs? Yes, as long as you continue to ask this question it is dangerous. But I don’t think drugs are the answer to the questions about heart health. Good, that’s a beginning. Here are a few questions for you to consider to assist you in making an informed decision:

* Do A-fib drugs address the factors that cause coronary heart disease?
* Do A-fib drugs improve heart health five or more years after their use begins?
* Am I willing and able to take responsibility for my heart health and learn to be kind to it—with right choices in the kitchen, gentle non-competitive exercise, stress control with deep ethical-spiritual work—undertake an effective and integrative program for heart health?
* Do natural non-drug measures and drugs really work?
* Do A-fib drugs save people from coronary stent and bypass procedures?
* Are the endo cells the guardian angels of the heart? If so, do angina drugs, coronary stents, and coronary bypass procedures heal injured endo cells?

I begin with the last question first.

Endo Cells: the Guardian Angels of the Heart’s Pacemaker

Endo is my abbreviation for endothelium, a very delicate single-cell layer lining the inside of blood vessels. The intelligent evolutionary design of vascular architecture made the endo cells smooth surfaced and electro-negatively charged so that the blood flowing through the vessels does not stick to them. They are delicate and are traumatized readily. However, evolutionary design conferred upon them a most remarkable ability to self-heal—the process beginning as soon as injury occurs and sometimes completed within several minutes as the healthy endo cells in the vicinity of the injured endo cells divide and slide over to plug the hole. I discuss this crucial subject in:

* “Please, Know Your Endos”
* A five-article series entitled “The Paradox of More Plaques and Fewer Deaths”
* My book “Integrative Cardiology,” the sixth volume of my 12-volume textbook entitled “The Principles and Practice of Integrative Medicine.”

My crucial point here is: Without learning and knowing about endo cells, no one can make an intelligent decision about whether or not to say no to angina drugs—as well as to non-emergency coronary artery stents and bypasses.

* Do A-fib drugs address the factors that cause it?

The simple answer: No.


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