Level A Evidence
4 Treatment Options Available

Cardiac Arrhythmias

Afib, VT & SVT: Ablation, Pacemaker & ICD Therapy

Cardiac arrhythmias are abnormal heart rhythms that can cause palpitations, dizziness, stroke, or sudden death. Modern electrophysiology offers curative catheter ablation for many tachycardias, and life-saving device therapy (pacemakers, ICDs) for bradycardia and sudden death prevention. Our partner centers have advanced 3D mapping systems and experienced electrophysiologists.

Condition Overview

Conditions We Treat

Atrial FibrillationVentricular TachycardiaSupraventricular TachycardiaBradycardiaHeart Block

Core Technologies

3D electroanatomic mapping | Cryoablation | Radiofrequency ablation | Leadless pacemaker | Subcutaneous ICD | His bundle pacing

ผู้สมัครที่เหมาะสม

  • •Persistent atrial fibrillation requiring ablation
  • •Complex ventricular tachycardia ablation
  • •Redo ablation procedures
  • •Lead extraction for device infection
  • •His bundle pacing for heart failure

High-volume EP centers with >1,000 ablations/year

พิจารณาทางเลือกในประเทศ

  • •First-time AF ablation (paroxysmal)
  • •Routine pacemaker implantation
  • •Simple SVT ablation
  • •Cases with experienced local EP specialist

Straightforward cases with good local electrophysiologist

Evidence: Partner centers >1,000 ablations/year; 80% success for paroxysmal AF ablation; <1% complication rate for device implantation.

Treatment Options

Atrial Fibrillation Catheter Ablation

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Symptomatic AF, failed antiarrhythmic drugs
เทคโนโลยี:Pulmonary vein isolation with RF or cryoablation, 3D mapping
ข้อดี:60-80% cure rate, reduces stroke risk, improves symptoms
1-2 daysFrom $8,000
>500 AF ablations/year at top centers

Ventricular Tachycardia Ablation

การผ่าตัดสอดแทรก
เหมาะสำหรับ:VT storm, recurrent VT, prior MI
เทคโนโลยี:Substrate mapping, epicardial approach if needed
ข้อดี:Reduces VT burden, may avoid ICD shocks
2-3 daysFrom $12,000
Specialized VT ablation centers

Permanent Pacemaker Implantation

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Bradycardia, heart block, sick sinus syndrome
เทคโนโลยี:Dual-chamber pacemaker, leadless pacemaker option
ข้อดี:Restores normal heart rate, symptom relief
1-2 daysFrom $5,000
High-volume device centers

ICD (Implantable Cardioverter-Defibrillator)

การผ่าตัดสอดแทรก
เหมาะสำหรับ:Sudden death prevention, severe heart failure
เทคโนโลยี:Transvenous or subcutaneous ICD
ข้อดี:Life-saving shock therapy for VT/VF
2-3 daysFrom $15,000
Standard electrophysiology service

คู่มือและบทความที่เกี่ยวข้อง

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การเปรียบเทียบค่าใช้จ่าย

Atrial Fibrillation Catheter Ablation

US Hospital$35,000
UK Private$28,000
MediLink China$10,000

Save 71% vs US • Includes: procedure, 3D mapping, 1-2 day hospital stay

คำนวณต้นทุน

ขั้นตอนการรักษา

1
Evaluation• Week 1
  • ECG monitoring (Holter/event recorder)
  • Echocardiography
  • CT scan for ablation planning (AF)
  • Antiarrhythmic drug trial if indicated
2
Procedure• Week 2
  • Catheter ablation or device implantation
  • Post-procedure monitoring
  • Device check and programming
  • Anticoagulation management (AF)
3
Follow-up• Months 1-12
  • Blanking period monitoring (ablation)
  • Device checks (pacemaker/ICD)
  • Recurrence assessment
  • Lifestyle modification counseling

Clinical Outcomes

AF Ablation Success
75-80%
paroxysmal AF
Device Implant Success
>99%
technical success
Major Complication Rate
<2%
ablation
Appropriate ICD Shock
5-10%
per year

คำถามที่พบบ่อย

What is the success rate of AF ablation?
Success varies by AF type: Paroxysmal AF 75-80% after one procedure. Persistent AF 60-70%, may need repeat ablation. Longstanding persistent AF 50-60%. Success defined as freedom from AF without antiarrhythmic drugs at 1 year.
Do I still need blood thinners after AF ablation?
Usually yes, at least for the first 2-3 months (blanking period). Long-term anticoagulation depends on stroke risk factors (CHA2DS2-VASc score), not just rhythm. High-risk patients continue anticoagulation even with successful ablation.
What is the difference between pacemaker and ICD?
Pacemaker treats slow heart rates (bradycardia) by pacing. ICD treats fast, life-threatening rhythms (VT/VF) with shocks. Some devices combine both functions. ICDs are larger and more expensive.
How soon can I exercise after ablation?
Light activity: 1 week. Moderate exercise: 2 weeks. Full activity including strenuous exercise: 4 weeks. This allows healing of the ablation lesions in the heart.

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