Radiofrequency Ablation of the Heart (RFA)
What is Radiofrequency Ablation and When Is It Indicated?
Radiofrequency ablation (RFA) is a modern, minimally invasive method of restoring normal heart rhythm.
The procedure is performed using thin catheters that are guided to the focus of the arrhythmia.
Radiofrequency energy is applied to this area, eliminating the source of the rhythm disturbance without damaging healthy tissue.
The technique is used for various types of arrhythmias:
- Atrial fibrillation and flutter
- Supraventricular and ventricular tachycardias
- WPW (Wolff–Parkinson–White) syndrome
- Extrasystole
If you experience irregular beats, skipped beats, or a rapid heartbeat, RFA may be the solution that restores your steady rhythm and confidence in the future.
Preparation for the Procedure
To make an accurate diagnosis and determine indications for RFA, the following are performed:
- ECG at rest and during exercise
- 24-hour Holter monitoring
- Echocardiography
- Intracardiac electrophysiological study (EPS)
EPS allows precise identification of the arrhythmia source and helps create an individual treatment plan.
How the Operation Is Performed
- RFA is performed under local anesthesia
- Through a small puncture in a vessel, thin catheter-electrodes are inserted
- Using X-ray and 3D navigation, the doctor maps the electrical activity of the heart
- A radiofrequency impulse is applied to the pathological focus, eliminating the cause of the arrhythmia
The procedure is gentle, does not damage healthy tissues, and allows restoration of the correct heart rhythm.
Postoperative Recovery Period and Prognosis
- The patient usually stays in the hospital for 2–3 days
- Most patients return to normal activities within a few days
- The effectiveness of RFA reaches 95%, and the risk of complications is minimal (less than 1.5%)
- In many cases, there is no longer a need for continuous antiarrhythmic medication after the procedure.
Treatment Prognosis
Radiofrequency ablation shows high effectiveness — complete elimination of arrhythmia in up to 95% of cases.
The risk of complications, when performed correctly, is minimal — less than 1.5%.
At the same time, quality of life improves and the need for ongoing medication decreases.
Frequently Asked Questions (FAQ)
How much does RFA cost?
In our Center, the operation can be performed free of charge under the national healthcare program or a government quota.
Paid options start from 205,000 rubles.
Are there scars left in the heart after the procedure?
Yes, but these are controlled micro-scars that do not affect heart function.
Is it possible to live without medication after RFA?
In many cases — yes. The decision to discontinue medication is made by the physician after evaluation.