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Afib with flutters

Heart Rhythm Conditions | Last Active: 3 days ago | Replies (14)

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@gloaming

Are you still taking a beta blocker or a calcium channel blocker per prescription? Some EPs want their patients to remain on a lowered dose of metoprolol, diltiazem, bisoprolol, or Sotalol for several weeks after an ablation, but the patient must self-monitor and report immediately any changes to their condition or symptoms. When a patient is in NSR (normal sinus rhythm) for many days after a so-far successful ablation, the heart may calm and find that it is suppressed by the chemical, meaning an artificially low heart rate. If that is the case, the EP may want you off of anything except the DOAC (apixaban or rivaroxaban) for stroke risk. Certainly by the time you get near your Holter monitor assessment, usually between Weeks 10-12, you would not want to have any residue in your system that controls heart rhythm or its rate. You and the EP would want a veridical assessment and record for several hours running of what your heart wants to do on its own in its current state.

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Replies to "Are you still taking a beta blocker or a calcium channel blocker per prescription? Some EPs..."

I am still on 25mg Metoprolol. My local cardiologist (actually the PA) did not have any real comments regarding the low heart beat other than to say that below 50 is when they are concerned. My EP is located in Denver where I had the PFA done so all contact is electronic. I am in the process of getting their feedback. I really want to get off of all the meds.