← Return to PF ablation after one symptomatic Afib episode?

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@windyshores

I wonder why doctors are treating me so differently. Not only am I on no meds after a first episode with heart rate near 200, I have had 10 more episodes, and noone prescribes meds other than as needed. I am over 65 and female so CHADS2 score is 2. I am happy with meds as needed but it seems others on this forum are put on meds and/or have ablation after one episode.

I work at avoiding triggers and lifestyle risks and am trying to keep my frequency down to an episode/year but at some point it will surely increase.

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Replies to "I wonder why doctors are treating me so differently. Not only am I on no meds..."

Cardiologists are not a homogenous group. Hence you (like myself) are not on other meds while others have an aggressive treatment plan with more meds including Amiodarone which was developed to be used only for V-tach. Some consider it a bad choice for geriatric patients. I worked in a very large university based medical center for 20 years. Although I had very little if any contact with cardiologists I found working in the hospital based setting that there was a lot of politics in medicine and within specialties. Some specialties were worse than others.

Maybe you won't increase. There are outliers to everything in medicine. My brother by all rights should have died by ignoring his AF which led multiple pulmonary embolisms which he ignored until to the pain became in tolerable.

I think that the docs only prescribing meds other than as needed is a good thing. I wouldn't be envious of those who have been taking meds or treatments because from what I read here, many of them don't work. or they have problems with them. I would not envy someone having ablation after one episode. Continue to avoid triggers, and do not ASSume it will increase. Pray that it doesn't!