What you can expect

Before the procedure

Your doctor will order several tests to check your heart health. Your doctor and nurse will tell you how to prepare and what to bring to the hospital.

After an AV node ablation, a pacemaker is necessary for proper heart function. You may have this device placed several weeks before your ablation to make sure it is working well, or it may be done the day of your ablation.

During the procedure

Cardiac ablation is done in the hospital. A specialist will insert an IV into your forearm or hand and give you medication to help you relax.

During the procedure, you may be awake, lightly sedated or under general anesthesia (fully asleep), depending on your type of arrhythmia and other health conditions.

The doctor inserts the catheter through a blood vessel, usually in your groin, and into your heart.

Sensors on the tip of the catheter apply heat (radiofrequency energy) to the heart tissue at the AV node and destroy the electrical signaling connection.

Once the AV node is destroyed, your doctor implants a pacemaker, unless you already have one. You will need the pacemaker for the rest of your life.

After the procedure

You'll be taken to a recovery area where doctors and nurses will closely monitor your condition. Depending on your condition, you may be allowed to go home the same day or you may spend a night in the hospital.