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I had a PFA ablation 6 months after my first Afib episode. I opted for it because all the medicine has dangerous risks. It helped a lot but I still had Afib 8-14% one week out of a month. My EP did not and does not want me to settle for that. So, instead of a 2nd ablation, I started Multaq. I was on it 2 months with diarrhea, fatigue, lethargy, swelling ending up in the ER with new congestive heart failure. However, that subsided and I don’t have heart failure. The EP said I could stop Multaq on 8/6/26. Since then, I had 44% Afib the week of 8/17/26 and my resting heart rate has gone from high 50’s to 80’s. It is now controlled with double the metoprolol I was taking before Multaq. I can schedule the 2nd ablation but in the meantime, is this everyday in and out of Afib going to stop and my heart act like it was before Multaq without starting back on amiodarone until the ablation can be scheduled? If so, I would like to wait it out because I am weary of amiodarone risks especially blindness. What would you do?

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Replies to "I had a PFA ablation 6 months after my first Afib episode. I opted for it..."

@loswalt0525 I am just curious; did the ablation ever stop the A-fib completely? What did the EP say about the reoccurence and when did it start after the ablation? I had to wait almost a year after my diagnosis to get an ablation and I, like you, did not want to take the anti-arrhythmia meds due to the side effects. I did use flecainide as a "pill in the pocket" a couple of times and that worked, but as far as taking a regular dose, I elected to not do that. My A-fib episodes were more sporatic than yours sound; I would have a two to four hour episode and then nothing for several weeks. I am almost one year after ablation and have not had any A-fib and only occasional awareness of PACs which my cardiologist says is no big deal. Have you made any lifestyle changes that are working. For me, giving up all alcohol (I was having a beer occasionally before) and cutting down on caffeine has helped, I think. I also lost some weight although I was not overweight to begin with. Just wondering how you will make out; please let us know.