Heart Rate after Ablation

Mines was 96-94 98

I took a walk down a small hill i want to grab food im in New York I think I’m gonna go to Subway. I really need to lose some weight but the pizza place is two dollars a slice. I know it’s OK to cheat sometimes but I’m mindful about changing my diet. I weigh 318. I’m Six1 54 years old.

I am new to all this. Three days since my 1st Ablation. Was told it was more of an extensive procedure than was expected but deemed a success. Been taking it easy but functioning at low level tasks. My heart rate was well above 100 prior to my procedure…it is now fluctuating between 56 to 84. Discharge nurse said it shouldn’t go below 60 . I am on 50mg Flecainade,
Eloquis and metoprolol. Assuming it will be fluctuating in that range thru this recovery period.

Your electrophysiologist wants to be cautious because he/she had to make more lesions, in more areas, than he had expected. This may make your heart cranky, and I think you should not be surprised, OR DISMAYED...to find yourself having a few little episodes of arrhythmia in the next two-to-four weeks. The literature says that some patients have a recurrence of AF in the early weeks, which is NOT a sign of failure. Later on in the blanking period, episodes of AF might mean more ablation is necessary, but it's a wait-and-see type of thing. The handouts I received when discharged warned me not to be unhappy if I got some short runs of AF in the first week up to three months, and that is what I mean to pass on to you.

Your EP is conservatively keeping you on metoprolol and Flecainide to help your heart stay calmer while it deals with all the burning or pulsed field disruptions, depending on what you had done. I think you will be encouraged to eventually begin to taper off both drugs about four weeks prior to the Holter monitor which comes at about the 10-12 week mark to see if you are free of arrhythmia. I'm not sure about this, but this is what the convention is to ensure your heart's true nature or state is accurately assessed by the Holter, and that the drugs are not actually masking an under-corrected arrhythmia.

The medical community currently states that a heart rate (HR) lower than 60 BPM is 'bradycardia'. Some in the cardiac field feel that this number is too high and that a BPM of 50 makes more sense. But for now, your lowest resting HR might be classified as bradycardia. It's not dangerously low since most healthy people have HRs in the high 40's when they are fast asleep, for example, or have been seated and calm for more than 15 minutes. My own resting HR used to be 38 when I was a competitive runner, but that was decades ago. The important thing is to keep an eye on it, and to not let it get so low that you become dizzy and want to faint, especially when getting out of bed or up from a chair...be careful and monitor your BP over the next couple of weeks to see how it goes.
Of course none of what I say is to be taken as medical advice or knowledge: keep in close contact with your medical team about any worrisome developments.

Thank you! I woke up to this message and it was a day brightener…not even Daylight savings yet!
I am a neophyte and barely figuring out how to traverse this
info/ chat . You related so much information ( more than my EP)
and seem knowledgeable and experienced . I feel better prepared in knowing what to expect in the aftermath of my extensive ablation! Just hope I can find this site again and follow these discussions! Thank you Gloaming!

Had pulsed field ablation 7 weeks ago. Prior to the procedure my resting HR was in the mid 50's, sleeping hi 40's - low 50's. Activity, depending on the intensity - 120 - 160.
Post ablation, same. I was expecting to see an uptick in my HR, but it never happened.

On 50mg metoprolol, same as well before the procedure. I also take Xarelto 20mg.

Has your EP or cardiology team suggested that they will want you to begin to taper off with the metoprolol before long? This is the usual protocol because of what I explained above...you don't want to wear a Holter at the 10-12 week mark with a heart 'helped' by drugs...you want a veridical assessment of your heart's electrical health and of its rhythm tendencies, including if there are 'PACs', or if there are long pauses, or runs of tachycardia, etc.

gloaming, I saw your previous post about not contaminating Holter results with any meds, which certainly makes sense. My first follow up visit with my EP since the procedure is in a couple of weeks, at which time I expect to cover that and other issues.

10-4! 😀

So,moving on past my 4th day post -
procedure…I’m having some bruising
around the groin area, entry level of the catheter. I’m assuming this is normal, it’s just that its more extensive today than yesterday…does bruising just get worse as you continue healing.
I’m sure age is a factor…I am 78