Patient: Description of the condition (time of onset, main symptoms, hospital visited, etc.): Qin (female), 58 years old, blood pressure, triglycerides and glucose were within the standard range. No other diseases were found. Heart rate is 62/min at normal. Heartburn occurs 1-2 times a week during the day and lasts 20-30 minutes with self-recurrence. January 3, 2011 24-hour Holter: mean heart rate 73bpm, minimum heart rate 40bpm, occurred at 01:43, maximum heart rate 159bpm, occurred at 06:43; 1974 premature supraventricular beats, with 72 bouts of atrial tachycardia, with 30 bouts of supraventricular duplex and 9 bouts of supraventricular duplex, with a total of 327 minutes and 0 seconds of atrial fibrillation (atrial flutter), with the first segment occurring at Cardiac color ultrasound: 1. The proximal ascending aorta was not wide (3.1 cm), the aortic valve was moderately active, and the main pulmonary artery (2.0 cm). 2. The left atrium was not large (3.3 cm), the left ventricle was not large, and the right ventricle was not large. 3. The second and third cusps were moderately active. 4. The left ventricular wall activity is segmentally slightly reduced. 6. color Doppler: no abnormal color flow signal is seen in the intracardiac orifices. mitral valve diastolic flow spectrogram shows E/A<1, E peak: 0.7m/s, A peak: 0.9/m/s. Suggestions: slightly thickened septum, slightly reduced left ventricular diastolic function. blood tests: glucose 5.8; triglycerides 1.44; total cholesterol The blood test: glucose 5.8; triglycerides 1.44; total cholesterol 5.7; HDL 1.5; LDL 3.1; total T3 1.2; total T4 8.7; thyrotropin 4.8. X-rays No special changes in the lung and heart diaphragm No significant effect in more than half a year on medications: bye aspirin, salvia drops and ginseng heart capsules. The nocturnal condition is unknown. The diagnosis of Ms. Qin's condition is considered to be paroxysmal atrial fibrillation, and the effect of general medication is poor. Patient Thank you. I have been seen at Xiangyang First People's Hospital and the cure rate of catheter ablation is 30%-80%, and it may take 2-3 times of repeated treatment, and there may be recurrence. Can you give me more detailed advice? Thanks again. Yang Bing, Department of Cardiovascular Medicine, Jiangsu Provincial People's Hospital: The success rate of single surgery for paroxysmal atrial fibrillation is currently about 75%, and about 20% of patients need a second surgery for recurrence, with an overall success rate of about 90%-95%. I often explain to patients that 3 is definitely greater than 1. Therefore, although the recurrence rate of AF ablation is higher, it is still acceptable, imagine how many internal diseases can be cured, and 3/4 is already quite good. Of course there are still patients who cannot be cured by multiple procedures, that is only a minority of cases, probably related to the current lack of clarity on the pathogenesis of AF, in fact it is only known that about 90% of patients are pulmonary vein related, so everyone is doing pulmonary vein isolation. If cost is not an issue, it may be considered. Because catheter ablation of atrial fibrillation is more difficult and risky than general ablation, it is recommended that you go to a well-established center for treatment; this may not always be done at a typical local or municipal hospital. Patient: Thank you! What is the cost estimate? Yang Bing, Department of Cardiovascular Medicine, Jiangsu Provincial People's Hospital: The current cost of surgery in our hospital is 65,000 yuan, and about 70,000 yuan with hospitalization. You are welcome to come to our hospital for consultation or surgery, and you need to reserve a bed in advance.