Cardiac arrest on the night of the ablation procedure may be due to ablation stimulation, or atrioventricular block or coronary artery injury. Elective surgery is not recommended in the short term, and emergency surgery needs to be analyzed on a case-by-case basis.
1. Myocardium is more sensitive to the stimulation caused by ablation: it will cause postoperative blood pressure reduction, heart rate slowing, or even cardiac arrest, requiring cardiopulmonary resuscitation, etc. Elective surgery is not recommended.
2. Atrioventricular block: mostly due to the ablation site close to the Hickory bundle, complete atrioventricular block will occur after the left and right Hickory bundles are completely blocked, which will seriously cause cardiac arrest, and can be treated by installing pacemaker in time.
3. Coronary artery injury: the ablation catheter may cause coronary artery injury during ablation, resulting in postoperative coronary artery spasm or even acute myocardial infarction, leading to cardiac arrest.
Again, it is not recommended to perform other elective surgeries within a short period of time, but in case of rescue cardiac arrest or other emergency surgeries, they should be performed cautiously under the supervision of a doctor.
In these cases, urgent medical attention is recommended to identify the cause of the condition and then proceed to the next step of examination and treatment and related surgical evaluation under the guidance of a physician.