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@gloaming
I appreciate your input greatly--thank you!
I am currently on 25 mgs of Metoprolol in the evening for the high resting heart rate, up from the original daily dose 12.5 mgs. I have been on 25 mgs for the last 2.5 months--and honestly the internal tremors & internal sunburn feeling, have remained the same.
I agree regarding the trigger yesterday, it was a long day--yes, a long appointment then waiting for the appt. to place the 7-Day monitor. However, most of my triggers happen at home--walking a bit too much (over 2500 steps total in a day) or a bit too much gentle yoga (20-30 mins). Everything that brought stress relief and joy (yoga, hiking, horseback riding, even working), I no longer can do, as they actually trigger the symptoms. Is this something that needs to be "waited out"....even though it's been over 16 weeks? Also, any thoughts on Ivabradine for the internal tremors & internal sunburn feeling, as well has the heart thumping and pounding?
Thank you, sincerely!
Replies to "@gloaming I appreciate your input greatly--thank you! I am currently on 25 mgs of Metoprolol in..."
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@kthrn1 It is surprisingly common for the apparently successful treatment, via ablation, for one tachyarrhythmia to lead soon after to another tachyarrhythmia. For example, both PACs and AFL (atrial flutter) are common after a simple PVI ablation for AF, but both are relatively easily treated....with yet another ablation. The key is that the EP doing the procedures is skilled and experienced enough to know how to do it successfully.
It would seem that, on the face of it, as you relate your experiences, that.....yes....you are probably best waiting this out for now. You don't want to be in AF or have too many PACs in a day if you can avoid it because it puts inordinate stress on the heart, notably the valves, and it tends to make the affected vessels want to enlarge.
The criterion for a 'successful' ablation is one full year free of the treated arrhythmia. This means that some patients' ablations are obvious failures inside of a few months, or they develop a follow-on arrhythmia, or they remain on a high resting HR, sometimes in the high 80's and 90's. Usually that high rate subsides inside of a few months, but if it stays high, it needs to be addressed. You shouldn't need ANY metoprolol after the blanking period....period! Nor should you need an AAD (anti-arrhythmic drug)...otherwise, what's the point of incurring the risks associated with an ablation?!?
About Ivabradine, I have no experience with it, and have not learned of it....sorry.