What downside have you experienced after an ablation?

Posted by mishel @mishel, Dec 5 1:38pm

I am 69 and have had an abib episodes every 2 months for a year; otherwise, I am healthy. I am approaching a decision to have an ablation and am assessing Pulsed Field Ablation vs. RF ablation and general anesthesia vs. deep sedation. I would love to know if you have experienced side effects such as tiredness, Hemolysis, Cardiac spasm, Gastric issues, Other. Have you tried to take medications such as Flacainade instead of having an ablation?
Thank you so much!

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I had two ablations within a week in 2021. First for Afib and second for ventricular tachycardia. The Vtach happened as they were removing the wires from the first ablation. Dr told hubby that it needed watching. Dr said in all his years he NEVER had that happen. He was going to bring my case up when he had his conference meeting. Thank goodness I was in good hands and at the heart institute in Houston Tx and a great Electrophysist. It’s been said the the first ablation doesn’t always take so when I went home on a Friday by Saturday if was back in what I thought was Afib again. 26 hours later on Sunday ( I’m a procrastinator I’ll admit it was foolish to wait that long) I called the dr and was told to immediately get back to the ER. I was admitted and after 30 hours it was under control. Wed I had the 2nd ablation. I was kept on Xeralto until 2024 and I am now on a low dose aspirin and have had NO episodes of a racing heart. I felt every beat of my irregular heartbeat when I was in Afib with many lasting 14 hours. My mother also had Afib but could not tell when she had an episode. She now has a pacemaker.

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I was diagnosed with atrial fibrillation (Afib) almost eight years ago (at the age of 58). At that time, I was started on several medications (went from taking no medication to taking 6!) including beta blocker, statin, blood thinner, diuretic, receptor blocker, and antiarrhythmic. For six years, my Afib was generally well-controlled—until I finally got COVID. After that, my heart went haywire, and I was in ED three times in three weeks for Afib with heart rates in the range of 160 to 200 beats per minute. I then ended up getting an ablation which went perfectly with no side effects. After three months they took me off the antiarrhythmic but continued all the other medications. Thankfully, since then, I’ve been heart-problem-free for almost 17 months (knocking on wood). Wishing you good health!

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@lanieg

I was 60 when my afib started in 2006. Cardiologist tried me on two meds but neither worked. In 2008 I had a pulmonary vein ablation that took 10 hrs. It was done by the leading expert at University of Pennsylvania Hospital at the time. The afib was successfully stopped for 14 years. I was blessed. Last year (2023) I started with
aflutter. In July 2024 I had a Watchman implant to prevent clots traveling to my brain. In Nov I had another ablation. This one took 3 hrs but started afibbing a week later. Then had a cardioversion and all is well. My heart is 18 years older now which might account for the initial 2nd failure but I have faith in my electrophysiologist and his skill and reputation. Our hearts get older just like the rest of our bodies.
Keep looking for a good EP and follow his/her advice, if you can. If not, get a 2nd or 3rd opinion.
Blessings to you.

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Thank you so much. Would love to know who is the EP who did the ablation.

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@woodside

hi - I had two PFA consults this year, in June and Sept. Both EPs are well-respected/experienced. One was at Mayo/Rochester; and one was local/Silicon Valley. They both explained that PVI and PVI Redo should no longer be done with RF, nor cyro, due to PV stiffening [etc.]

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Would love to know the names of the doctors you consulted with. Thanks

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My Electrophysist in Houston Tx was Siddharth Mukerji. He is with Memorial Hermann heart institute. On 6400 Fannin St. Houston Tx.

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@woodside

hi - I started Dofetilide 500mcg BID in April, then reduced to 375 in July and 250 in Sept - it's working well for me, too!

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Great!! At one point my cardio switched me from 250 to 500mcg (not sure why) and I immediately had a severe rash on my hands. Looking into it, that's one side effect of too large a dose so I went back to 250mcg. Seems to be the right dosage!

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From personal experience, surgeons seldom give general anesthesia especially in older patients. I'm 70 and the past 4 surgeries (over 3 years) have been Propofol.

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@woodside

hi - I started Dofetilide 500mcg BID in April, then reduced to 375 in July and 250 in Sept - it's working well for me, too!

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Are there long term risks with this med?
Do you experience any side affects from it? Assuming you still have to take eloquis or some blood thinner?

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New here! Does anyone have any knowledge of any EP’s in Ontario (GTA) doing PFA? Doesn’t seem to be as common here as in the US.
Has anyone who has undergone the ablation had twilight sedation as opposed to general…?

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@shrnrsh

Are there long term risks with this med?
Do you experience any side affects from it? Assuming you still have to take eloquis or some blood thinner?

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Hi - long term risks are unknown since there's no research [per Mayo EP] and yes, my side effects were intollerable at 500mcg BID [max dose.] But for me, all side effects were dose-related. In addition, max dose provoked a 3x higher risk of Torsades de Pointes [because I'm female] which is potentially life-threatening. I hope that answers your first two questions. Except as needed for a procedure, I'm not a DOAC candidate - per Mayo - see link below

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