Afib 10 weeks post PFA Ablation so lost!

Posted by alexjo @alexjo, Dec 26, 2025

I have paroxysmal Afib, EP thought the PFA (PVI) covered it all , have had recurrences all the way into week 11 post (now)- blanking for PFA is supposed to be 8 weeks, I know this does not bode well and feel I am worse off than before. Is there any hope?
Can a PFA ablation doom you?

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Profile picture for sjm46 @sjm46

@sandrah2024 I had an ablation in November and I too noticed some PAC's which are easily "felt" as you describe, but I was told to expect some of that as the heart "heals". But PAC's are different than fibrillation as I understand it--still technically an arrhthymia, but still a real beat that actually does pump blood (perhaps not as effectively, but not just a flutter like A-fib). I have noticed that the more active I am, the fewer PAC's I have; it's like if my pulse is slower, the PAC's tend to "fill in" but when I am active in the gym or doing housework, they are absent. Perhaps as you get back to normal activities after knee surgery, these will also tend to deminish. Just a possibility--not to mention the stress of knee surgery and the pain/discomfort it creates for a time. I am comforted by the fact that PAC's are not "dangerous" in and of themselves, so I hope you (and I) will find "freedom" from them soon. I certainly can appreciate how you feel; I can't imagine having 4 ablations! I sincerely hope one is enough for me! Best wishes in 2026. Stay positive and keep moving! My husband had TKR two years ago this month and he is doing very well; he goes to the gym every day! He rarely complains about his knee--the new one and the "old" one! Hang in there and remember the experts say that knee surgery recovery takes a year!

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IF you are consuming anything containing caffeine, eliminate, and see if that takes away your heart issues. Also high sugar diet.

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Yes, thank you for mentioning that. No drinks, no coffee, no tea... even no gluten for fun and giggles, for 8 years...

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I HAVE AFIB AND SVT....RECENTLY I NOTICE A LITTLE SWELLING ON MY CALFS AND ANKLES....DOCTOR SAID ITS EDEMA.....ANY HELP TO GET RID OF IT ?

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Profile picture for remo @remo

I HAVE AFIB AND SVT....RECENTLY I NOTICE A LITTLE SWELLING ON MY CALFS AND ANKLES....DOCTOR SAID ITS EDEMA.....ANY HELP TO GET RID OF IT ?

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@remo Apart from prescriptions to help your kidneys to be more efficient (they are mildly inefficient due to the poorer blood supply that is typical with a heart in arrhythmia), or trying to be a bit more dehydrated than you really ought to be (meaning drinking less fluids), your best bet is to get your arrhythmia under control. That's with drugs, a pacemaker, or just a catheter ablation, depending on your local resources.

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Profile picture for gloaming @gloaming

@remo Apart from prescriptions to help your kidneys to be more efficient (they are mildly inefficient due to the poorer blood supply that is typical with a heart in arrhythmia), or trying to be a bit more dehydrated than you really ought to be (meaning drinking less fluids), your best bet is to get your arrhythmia under control. That's with drugs, a pacemaker, or just a catheter ablation, depending on your local resources.

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@gloaming thank you for the info,,,,,

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Profile picture for gloaming @gloaming

@remo Apart from prescriptions to help your kidneys to be more efficient (they are mildly inefficient due to the poorer blood supply that is typical with a heart in arrhythmia), or trying to be a bit more dehydrated than you really ought to be (meaning drinking less fluids), your best bet is to get your arrhythmia under control. That's with drugs, a pacemaker, or just a catheter ablation, depending on your local resources.

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@gloaming

MAZE PROCEDURE

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Profile picture for remo @remo

I HAVE AFIB AND SVT....RECENTLY I NOTICE A LITTLE SWELLING ON MY CALFS AND ANKLES....DOCTOR SAID ITS EDEMA.....ANY HELP TO GET RID OF IT ?

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@remo ask your Dr what he suggest . It make be low Na diet, Lasix, TED socks , side effects from meds etc

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Profile picture for koleke @koleke

Are you exercising and trying to stay healthy? I was diagnosed with AFib in 2019..It wasn't too bad with short incidents occuring every 3-4 months for several years. Then it worsened and finally when I was in AFib all the time they did an ablation. Now I rarely have an incident. I do find if I get sick it can set off my irregular heartbeat but it goes away after I'm better. The only thing I do is regular exercise and try to eat healthy. And pray! God is good. Best to you!

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@koleke hello I'm back after that comment..I went back into persistent AFib at the end of April, after the four years of freedom from it. An ablation/cardioversion at the beginning of June wasn't successful seemingly. But they wanted me to wait the 90 days of the blanking period..I had several side effects which were not present before so I asked them to put a plan in place. The plan was load amiodarone in my system and do another cardioversion. They did and it did nothing. Still on the high dose of amiodarone. However, yesterday I went into a normal sinus rhythm and am optimistically cautious that it will stay. Everyone is so different. Hopefully you get some positive answers.

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Been there, are you in flutter by chance? Flutter is common after PFA in something like 30% of cases. Some EP's say the PFA stuns the tissue but is not sufficient to ablate it fully. Depends on what PFA device was used. Aferaa is a newer ablating tool that does both PFA and RFA.

Ablating the Vein of Marshal also is beneficial providing it can be canulated.
Then mini-maze procedure is a procedure that attemps to scar the out side of the heart to ablate the roughe cells.

As far as triggers - I posted 2 videos on the this forum and they are inforamtive. Caffine does not cause Afib and is actually beneficial in preventing it. Alcohol on hte other hand is a potent trigger. It's worth your time to watch them.

I have been in your shoes and that is frustrating. I've had a total of 6 ablations. Now I'm doing great cycling and lifting and enjopying it all. I'm at 8 weeks and change. My last prodeure was doen at UCSF with Dr. Gerstenfel and I highly recommend him.

As far as mini maze Adventis hospital in Napa is the place to go.

I had a phone consultation with Dr. Natalie and although he was knowledgable his approach for me was to kill the appendage and do a watchman. At UCSF my appenda was fine no watchman needed.

My advice is to get as much info as possible and be willing to travel.

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Profile picture for koleke @koleke

@koleke hello I'm back after that comment..I went back into persistent AFib at the end of April, after the four years of freedom from it. An ablation/cardioversion at the beginning of June wasn't successful seemingly. But they wanted me to wait the 90 days of the blanking period..I had several side effects which were not present before so I asked them to put a plan in place. The plan was load amiodarone in my system and do another cardioversion. They did and it did nothing. Still on the high dose of amiodarone. However, yesterday I went into a normal sinus rhythm and am optimistically cautious that it will stay. Everyone is so different. Hopefully you get some positive answers.

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@koleke Thanks for being conscientious about returning and updating your experience. It might help someone reading soon or in the distant future.

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