Flutter Ablation Versus Conservative Treatment First

Thanks again for so detail response.
It is my plan to get the second opinion before commit anything even I am pretty sure I am going to go ahead with it after some additional steps are taken
As I mentioned earlier my ECG wasn't normal at least for last 15-20 years and that is why I had to go though a lot of tests to get clearance before any surgeries are done (last time when I had another major surgery in 2020 -not related to heart issues).
However after doing a lot of tests in the past ablation was never offered until now but I guess at the moment everything got way worse.

@gregkogan I wish you great success.

I am currently after being 3-4 months on DILT (blood pressure medications plus Eliquis) have almost normal blood pressure.
I also never witnessed myself something called like episodes (unless I just have no idea what it is) , so when doctors ask me questions about episodes of elevated heart rate I am not even certain weather I have them so it is just doing ECG observations.
Again all these questions I am asking myself to be sure I would like to move forward with Ablation.

@gregkogan Some people are symptomatic. They KNOW when their heart is having an episode (an interval of time when a phenomenon occurs, in this case an arrhythmia). They feel unwell, faint, feel sweaty, short of breath....whatever it is, they know something is untoward. If they also have chest sensations, as I do, or in their carotid artery in their neck, they can feel the heart beating chaotically. Others have no idea they are having bouts, or episodes, of arrhythmia. They find out, often too late, that their hearts have developed mitral valve problems or hypertrophic enlargement (thickening of the chamber walls or actual ballooning where they get noticeably larger). So, the idea is to know or sense it when it happens, if you can, but more importantly to do something in the earliest stages when it is most easily managed. By that I mean seeing a cardiologist early in the onset of the arrhythmic disorder, in the first few weeks if possible, and then embark on a protocol of treatment as prescribed. For most, it involves stroke risk management, meaning taking a direct-acting oral anti-coagulant (DOAC) like Eliquis or Xarelto. Stroke is the greatest worry for atrial fibrillation, as an example, and those patients get put on a DOAC right away. Sometimes for life.

But more to the point, an arrythmia can also cause structural changes in the heart that degrade its function, and those can severely impact your life and lifestyle. You want treatment early! Right away if possible, to forestall those degradations that come with a heart spending a lot of time in an arrhythmic state.

Thanks for your great feedback.
Really appreciated.
I guess I am going to move forward with the flutter ablation soon

@gregkogan It's not a big deal....day surgery, and you won't look back when it's done 'n dusted. Honestly, you'll fret and wonder, as most do about a novel situation and procedure, but it's very straightforward, not a lot different in your experience to having a colonoscopy.

Good to know.
Thanks!

@kaka50
Did the docs ablate your av node? That is recommended to my husband after serious flutter and extremely low blood pressure. Pacemaker and ablation of av node.

No. That was not suggested. But, every case is different.

Finally I had Flutter Ablation procedure done last Friday (May 22)
A couple day after ablation the rate was pretty stable in normal range but last two day I am getting very low rate (two times below 40 according to my Apple Watch which noted to be very accurate.
I will be definitely reaching out to doctors but just wondering if anybody else had the same experience during recovery