Conversation: The conversation between human and AI assistant.
[|Human|] i had an ablation for multifocal pathways psvt.After 11 months it  started again and i have been to the er 4 times for cardioversion with adenosine.I w as on dilzem 180.Now the doctor has added cordarone 400mg .He feels another ablation will not help.I know how toxic cordarone can be.Can  I have my av node ablated and be fitted with a permanent pacemaker? What are your suggestions? Thank you for hearing me out
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should first get done repeat EP (electron physiological) study to determine the accessory pathways. If this is same as previously as no need for ablation and pacemaker. Cordon is good Chat Doctor.  And don't worry much about side effects. These side effects can be easily managed. If your EP study is worse than the previous study, you need AV node ablation and pacemaker. So first get done fresh EP study and then decide future plan of treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.