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I’m a failed pfa pulmonary ablation and now am in a similar position. I’ve been having svt, now usually resistant to vagal maneuvers including the sitting valsalva for 30 seconds followed by the leg pop up in the air with the exhale, that is followed by afib. A few days ago I was on hour 12 of afib when I went into a steady 100 bpm rhythm with more shortness of breath than afib. I didn’t see a sawtooth on my Kardia 6 lead. It was reading it as sinus tachycardia. By hour 16 I was feeling worse so I went to the ER. By then I was back in a fib. I was monitored for another 24 hours and was flipping between flutter and fib. I never had the classic 150 bpm sawtooth ecg. I eventually converted after a rough 36 hours. I had another svt induced afib last night but didn’t get flutter. I didn’t take my usual pill in the pocket flecainide, I just took metoprolol 50 mg. I’m wondering if flecainide is making my flutter more likely. I am supposed to get my 2nd ablation in August. Ugh. I hate flutter more than a fib now. Flecanide used to work. My resting heart is about 48 so chronic metoprolol is a challenge. Flutter can be hard to diagnose. Usually the source is around the tricuspid valve. You need a good mapping for the ablation and PFA isn’t as good as radio frequency for the spots where flutter triggers are usually found.
Replies to "I’m a failed pfa pulmonary ablation and now am in a similar position. I’ve been having..."
@diane987654321
Thanks for your reply. I'm sorry you're dealing with so many challenges. You sound well educated about what's going on with your heart. I can't add anything to help you. I've had only one episode and am now on xarelto and metoprolol. Hope it doesn't rare up again. I admire you for understanding your situation so well even though it's not easy. Hang in there!
Lucy
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@diane987654321 I've tried Vagal maneuvers but the only instruction I've had on performing them is on the Internet. When i saw the EP doc he was telling me about Carotid massage that seems to help in a lot of cases. I have deep veins so my carotid pulse (neck area) is hard to find even had my wife try to find it but she couldn't. So far diltiazem has seemed to have stopped the episodes of SVT but I'm sure in time as I age it will get worse. I used to be field engineer that serviced Xray equipment used in Cardiac Cath Labs. A lot process has been made when it comes to treatment Coronary Artery Disease i was involved in image quality for physicians to view the blockages. The technology has vastly improved but Heart Arrhythmia treatment technology has had a slower process in development I think however that's also changing. There are now dedicated treatment centers for Heart Arrhythmia so hopefully better mapping technology will follow. Wishing you the best in your on going treatment.