Tachycardia following Ablation

Posted by beebo @beebo, Feb 10, 2024

My ablation (2nd) was performed in November and immediately after that I experienced an increase in my resting heart rate from 65-70 BPM to low/mid 90’s BPM.
I’m back in sinus rhythm but this week I had my 90 day follow up that included a EKG. My EP says that tachycardia, which I now have is not unusual after an ablation. So the fix now is to have a cardioversion and if that doesn’t correct it then another ablation will be done. Anyone here have a similar experience? Thanks

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@beebo

If you have never had an ablation it’s natural to be apprehensive about the upcoming procedure. It really is a non event in terms of any discomfort or pain. You check in, spend some time waiting till they’re ready for you and the next thing is you’re waking up and waiting to be released. It does take up a good part of a day so bring your phone or a book. Best wishes and let us know how it turns out.

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Thank you beebo!

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@gloaming

The risks of damage or death, across the entire practicing EP field, is about 1.4% for an ablation. This is very low. People buy lottery tickets where they think they have a chance of winning when it's 0.00000005%. Yes, the loss of a coupla bucks is pretty small by comparison, but they spring for the bucks when their chances of winning are 10M times less!! And only one or two people will run down the street waving their huge check out of the 10M ticket purchasers.

Something else to consider; where is your headroom now that you're on the max doses? What's left for you...amiodarone? A pacemaker? Wouldn't you rather submit to an ablation, with that hefty 80% probability of success, than to have your AV node nuked and then leads wired to your heart?

I understand your fear. I had some misgivings about an ablation. But, when I weighed the relative risks of continuing to lose ground with drugs that lose ground, and to figure that mitral valve prolapse or atrial enlargement might lead to heart failure....AND then to add how terrible my AF made me feel, just with the anxiety? I practically begged to be placed in a line-up for an ablation. My first ablation failed. Bad luck. But, because of the low risk, I was otherwise fine. Just PO'd. Seven months later, another ablation, and in 13 days I will have two years free of AF or anything except the very odd triplet of PACs....which we all have anyway, healthy heart or no.

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Thank you for your reply. Certainly got me thinking…

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