PAC/PVC should I have ablation?

[K107]

HI I have PVC/PAC I take atenelol as needed.  My new doc suggested a ablation.  He said that meds will never fix the problem only ablation will. So you live with the irregular beats or do the procedure.  Only 90% successful if on the right side of the heart and 80% if on the left side of heart.  My last doc sd that he would not reccomend the ablation as it can cause other arrythmias that are more dangerous.  Confused any suggestions.  Has anyone had PAC/PVC that have turned into a more dangerous rythmn.  Or do they always stay the same.  I have also heard about calcium channel blockers how do they differ from a beta blocker are there more side effects?

[Wisconsin2007]

You didn't provide any data - how many PVCs in 24 hours, other symptoms, etc.  Absent that, unless you're like Lisa33167 and are having 50,000 PVCs a day, I'd say no.  The risks outweigh the benefits.  There is a slight risk of death with ablations (1 in 2-5,000, depending on the source of the info), and the risk of death if your heart is structurally normal is closer to zero.

[sugarlynskie]

Hi.  I had an ablation done for WPW syndrome, and now I have PVC's.  My best advice would be if the PVC's are not symptomatic, do not have the ablation, it could make them worse, however, if the benefits outweigh the risks, then go for it.  An ablation is relatively minor, and I had no issues with the surgery. Hope this helps..