In this presentation from July 20, 2021, Dr. Doreen DeFaria Yeh reviews the specific medical issues that develop among children and adults born with a complex congenital heart condition called tetralogy of Fallot.
Corrigan Minehan Heart Center
Atrial Fibrillation Program
Atrial Fibrillation Program
Corrigan Minehan Heart Center
55 Fruit Street
Boston, MA 02114
Explore This Treatment Program
Care During COVID-19
Our dedicated physicians, nurses and staff are committed to providing the best possible care. We have taken unprecedented steps to ensure office visits, procedures and surgeries are welcoming and safe. Your health and safety is our top priority.
Overview: Individualized Care for Atrial Fibrillation
The Massachusetts General Hospital Corrigan Minehan Heart Center is among the world’s leading diagnostic and treatment centers for patients with all types of heart rhythm conditions, including atrial fibrillation.
As part of the Cardiac Arrhythmia Service, our Atrial Fibrillation Program provides highly individualized care for patients with this disease.
Delivering individualized care means recognizing that each patient’s situation is unique. Our model of care emphasizes working closely with you, your referring physician and a team of atrial fibrillation specialists at Mass General to develop a customized treatment plan that decreases your stroke risk and reduces or eliminates your symptoms.
Your treatment plan is based on factors such as:
- Severity of symptoms
- Type of atrial fibrillation
- The presence of associated heart disease in addition to atrial fibrillation
Diagnosis: a Team Approach to Care
Each member of your Corrigan Minehan Heart Center care team specializes in treating atrial fibrillation and other cardiac arrhythmias. Care teams typically include specialists such as an electrophysiologist (a cardiologist who specializes in heart rhythm conditions), a cardiologist, a cardiac radiologist, an echocardiographer and a cardiac anesthesiologist, as well as nurse practitioners and physician assistants.
- A team approach combined with high-volume experience enhances our ability to:
- Determine the cause of your condition
- Develop a treatment plan that optimizes safety and effectiveness
- Decrease your stroke risk and reduce or eliminate symptoms
- Monitor your progress and response to treatment
What to Expect
At your first visit, you will meet with one of our doctors along with a nurse practitioner or physician assistant. The doctor will conduct a physical exam and review your medical history and laboratory tests.
If more diagnostic information is needed, additional testing may be advised. Our team includes cardiac radiologists who evaluate your heart by using advanced imaging technology capable of rendering the heart in remarkable detail.
Patient education is a cornerstone of our care model. During your first and subsequent visits, we will partner with you to ensure that you understand your condition and treatment options. We want to be sure you have the information you need to make educated decisions about your immediate and long-term care.
Leading Treatments & Procedures
Our program is internationally recognized for the treatment of Atrial Fibrillation and other cardiac arrhythmias, and patients have access to the most advanced treatments.
Observation or medication is typically the first option for managing patients, but some require a procedural intervention to achieve control of their atrial fibrillation and its symptoms.
- Anticoagulants for stroke prevention
- Medications for heart-rate control during atrial fibrillation
- Antiarrhythmic medications for prevention of atrial fibrillation
Catheter ablation is a minimally invasive procedure that aims to restore the normal heart rhythm by inactivating the tissue that triggers and perpetuates atrial fibrillation and other arrhythmias.
Our team of experts has made important contributions that have helped advance the field of catheter ablation using radiofrequency (heat) energy. Moreover, we pioneered the use of cryoablation (cold energy) as an alternative energy source and have found it to be very successful in many patients. Members of our team are also investigating the use of a visually-guided laser ablation as a new energy source to perform catheter ablation.
Types of catheter ablations:
- Pulmonary vein isolation (PVI) and catheter ablation is a minimally invasive procedure in which a flexible catheter is inserted into the heart via a vein in the leg to electrically isolate the pulmonary veins from the rest of the heart. This procedure can eliminate or significantly reduce the severity and frequency of atrial fibrillation episodes in the majority of patients
- Atrial flutter ablation is a minimally invasive procedure where the physician targets the area in which the circuit for atrial flutter is located. By inactivating this tissue, the atrial flutter can be eliminated
- AV node ablation is reserved for patients who have advanced heart disease in addition to having atrial fibrillation and/or atrial flutter. The AV node is ablated and a permanent pacemaker with or without a defibrillator is inserted. This procedure eliminates the arrhythmias and helps maintain a normal heart rate
Our program also offers:
- The WATCHMAN device, a left atrial appendage closure device designed to replace blood-thinning medications such as warfarin to prevent strokes in patients with atrial fibrillation. Our physicians pioneered the use of this device. WATCHMAN is for investigational use only in the United States
- Electrical cardioversion, a noninvasive procedure in which the normal heart rhythm is restored as a result of a synchronized electrical shock delivered to the heart through the chest wall using skin patches
- The MAZE procedure, reserved for patients who have atrial fibrillation and need open heart surgery for a heart valve repair/replacement and/or a coronary artery bypass. This procedure is performed by cardiothoracic surgeons in close collaboration with the electrophysiologists.
Meet Our Team: Integrated Care
Our specialists care for adolescents and adults with congenital heart disease and value open and ongoing communication with referring pediatricians, internists and primary cardiologists.
- Director, Cardiac Arrhythmia Service
- Director, Clinical Cardiac Electrophysiology Fellowship Program
- Department of Medicine
- Associate Professor in Medicine, Harvard Medical School
- Director, Atrial Fibrillation Program
- Director, Pacer and ICD Lab
Mass General is dedicated to ensuring that people understand their health care choices and have the necessary information to make decisions affecting their health and wellbeing. The related support and wellness information listed below can play a role in treatment options.
What to expect for a catheter ablation procedure (also Pulmonary Vein Isolation or PVI).
Learn about what to expect before, during and after an electrical cardioversion.
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