Heart Monitor after PF Ablation?

It's not my experience, but your lack of measured, or sensed, arrhythmia since the time of your ablation, and his own personal look-see, has him comfortable. I would take that and run....personally. 'Start..the....car..!!
😀
About the only thing left, again based solely on my experience and many readings, is that you should be on an anti-coagulant if your risk of thrombosis is still high based on the CHA2DS2-VASc score a competent person assigns to you. But, if your devices and your spidey sense all say you are clear, and this is what he is using to judge, then who are we to argue?

Thanks for the replay...By "run" do you mean I should run away from him and find a new EP or move forward with confidence that all is well? BTW, I am on Xarelto 20mg and metoprolol 50mg daily, which he feels I should continue taking at least until the 6 month milestone.

I showed him printouts of my Apple Watch ECGs, which indicate occasional PACs/ PVCs, which he says should diminish over time. He thinks I'm obsessing over this too much. As a charter member of the worrywart club, I would have felt more comfortable with a monitor. I told him if my PACs /PVCs increase or if I experience an Afib event, I will be in contact pronto.

By run I meant enjoy....go with it. Sorry for not being clearer. I agree with the person, so I do not advocate finding another opinion, although it is rarely a bad idea...frankly.

Obsessed? Well, when I had to go to the ER because of my AF, I kept looking at my Samsung Galaxy watch because my monitoring graphics on the large screen were behind my bed and I couldn't see them. There were alarms, and I kept glancing to see what my watch showed. My wife finally rolled her eyes and literally said 'Gimme!' as she held out her hand. I gave her my watch, we shut of the alarms, and I soon felt a lot more relaxed. So, take that for what it's worth...about being obsessed.

We all have a number of PACs, all of us. What begins to be of concern is if they go in runs, couplets, triplets...which indicate some potential problems persist, the recent ablation notwithstanding. In my case, sorry to keep using MY OWN experience, my first ablation was a decided failure inside of six short days. When the time came, three months later, to have me wear the confirmatory Holter monitor over night, the outreach nurse called me two weeks later and offered to relate the findings. Her words, with her own emphasis, which I heard very clearly over the phone, were that I '...have a LOT of PACs.' That wasn't good, and I had my second return to AF about six weeks later.

Look, I was there. I get it. It's easy for me, a guy two-plus years free of AF after a second ablation in February of 2023, to sound unconcerned and cavalier with what YOU are going through and over what you have as legitimate concerns. But honestly, I think most of us who are going to revert back to arrhythmia know it in short order. The most recent research says that some AF or PACs, even 'runs' of them, in the first four weeks are normal enough and should be shaken off. Instead, it's the later returns, after six weeks or so, that does not bode well for a clear Holter at the 10-12 week mark.
So, if you feel well, and you sound and look well, even if you doubt the hands-off approach to keeping a sharp eye on you, and your checkup all point to pretty much beating the arrhythmia, I would literally take that and....yes...run. Go for a walk, go shopping, go on a cruise, return to normal peace and relationships (if they have been on pause....mine were), and try to accept that you have been anointed and can join the club of the AF-free.

Wear an Apple Watch which monitors AFIB accurately and also has an ECG app to track your heart rates, measuring Afib and Sinus Rhythm. Best investment I’ve ever done.

I had a different experience with my ablation. Every week during the blanking period( 3 months ) I transmitted an ekg to my EP doctor. The reports showed expected short runs of AF, tachycardia and PVCs. However I emailed my EP to tell him I kept having episodes of feeling light headed and like I was going to pass out. They sent me a monitor to wear for 2 weeks. I sent the monitor in. About a week after that, I got a call from a nurse who read my weekly transmission which picked up a 4 second pause. She then called the monitor company to evaluate my results ASAP. A couple of days later my EP’s office called and said I needed a pacemaker. In the time I wore my monitor it picked up 1,400 pauses. The longest lasting 8 seconds. My point being, let your physician know how/ what you are feeling. I am grateful part of my recuperation included transmitting EKG’s and being able to talk to my care team.
It sounds like what you are experiencing is normal. It’s hard to hear when your watch is telling you something different. Go by how you feel. If something doesn’t feel right contact your doctor. Good luck.

Thanks for the reply. I agree, we have to listen to our body. Still, I use my Apple Watch to sometimes confirm what I am feeling.