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Should I consider ablation?

Heart Rhythm Conditions | Last Active: Sep 19, 2020 | Replies (86)

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@crashnam

I'm 70. Let me start off by saying that for 45 years I've had every type of PVC, palpitation, skipping, jumping, floundering around, fluttering, hesitating, twinging sensations and on and on known to man and then some, and feel every one of them. Some, very scary. I endured them all at work and at play. Doctors always passed them off as semi-normal and never really told me what they were all about or any explanation for them. Over the years my heart would on occasion kick in and race very rapids for 10-15 seconds but would always go back to normal beat. One of these sensations hit me 8 years ago when I was at work. I felt it certainly, but this time it didn't let up. Lasted for 14 hours at a rate of 200-plus bpm. I let it go and told my family doctor about it. He asked me if I wanted to see a cardiologist and I said no, not at this time. Well, the racing started coming on at about a rate of 30-45 days in between episodes. Finally went to see a cardiologist about it. They gave me the standard tests to see how strong my heart was. Ultrasounds, ekg's, holter monitors. They could see all the palpitations but of course no AFIB was evident. To make a long story short I was finally diagnosed with paroxysmal AFIB after having several more episodes. I don't like a lot of medications so I only took a blood thinner and a beta blocker. Didn't take a couple of the other medications they prescribed because of the possible side effects. Anyway, episodes began to be more frequent. Cardiologist advised me that maybe an ablation was in order. I thought about it and researched it. And decided to have it done, especially since my heart would race way up there and no medication was touching it to slow it down. It always would let up on its own, but the feelings and sensations my heart would give me just before and after I went into AFIB were miserable. I had the ablation done in June of 2019, and in fact, I had a severe episode the night before. They took excellent care of me during pre-op and when I reached the operating room arena there were people coming out of the woodwork to wire me up, prep me and make me comfortable. I had no fears. I'm a Vietnam Veterans so I took it in stride. Procedure took a little over 4 hours and I was going home the next day after spending the night. To date I have had no further episodes except for an occasional burst of speed which is scary because I don't want this to come back. However, I am still left with thousands Palpitations every day but I still get through them. Refused any further medications for it. Maybe down the line. They are still scary sometimes but I just live with it. Depending on your situation, how many episodes and how fast your bpm's are during the episode I would seriously consider having it done. Mine was getting REALLY bad and more frequent and would have eventually worn my heart done.

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Replies to "I'm 70. Let me start off by saying that for 45 years I've had every type..."

I'm a vet too and don't really have fear of doing it but I have concern whether it's actually needed and if I decide to have it done it making things worse. I also want to know what my costs will be, seeing the posts that people have had multiple ablation treatments and being on a fixed income that concerns me. The meds are handling it now and I never really feel fluttering or racing as others here have described so I feel blessed. I worked in healthcare in management 41 years, my wife's a RN running one day surgeries for the hospital I retired from, one of my daughters is a NP and the other is a CNA both working for the VA. I know healthcare and doctors which doesn't cure any anxiety on my part or my questioning the process. I appreciate your response and it helped. I also want to thank Mayo for the support and information they provide to patients, in my 41 years working as a leader in a hospital Mayo was the institution we aspired to be like! Thank you!