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Had Pulse Field Ablation 2 days ago. Now what?

Heart Rhythm Conditions | Last Active: Sep 14 3:24pm | Replies (20)

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Profile picture for sjm46 @sjm46

It sounds a little brusk to me, but these EPs are very tech focused and often the APRN or an assistant will take responsibility for answering your questions. I had a pulse field ablation in November, 2025; I also was taken off my medication (Amlodipine) immediately. I never saw the EP again, but the assistant told me I was to go home, take it easy and that I could restart exercises at the gym gradually in a week to 10 days. I had some PACs occasionally during the first 6 weeks that concerned me but I had no A-fib episodes. The APRN that I saw on that first visit was pretty flippant about the PACs but she told me it would take "three months from the ablation before it could be considered a 'failure'." My regular cardiologist told me the PACs were "no big deal" and that lots of people have them--even young people and to not be worried. By 3 months after ablation I was feeling fine, very rare PACs and the APRN that I saw that time was the one who was in the operating room when I had the procedure. He was reassuring, positive and told me that (as I suspected by reading my EPs operative notes on my chart) the doc had done a very thorough job of checking for all the possible trigger points for A-fib, not just the usual pulmonary vein areas. He told me that the pulse field ablation techniques are being perfected all the time; he wasn't surprised I was doing well. Now that really helped reduce my anxiety! So try to relax, think positive, do all the lifestyle adjustments that are recommended--avoid too much caffeine, all alcohol, heavy or salty meals, get regular exercise after a week or so, get plenty of sleep, watch you weight and relax! I hope you are as "fixed" as I am; I am 80 years old and I feel great, go to the gym for 90 minutes daily, ride my bike, hike, clean my house, garden and travel. If you need to restart any meds, you can check after you go for your follow-up! Best wishes! I can tell you how pleased I am with my results and I hope you are fortunate too!

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Replies to "It sounds a little brusk to me, but these EPs are very tech focused and often..."

@sjm46 - Thank you for the encouraging post. I've felt negative because of so many periods of health problems--lungs, kidneys, urethera, lichen planus... I've been hospitalized five times in the last year. Just now, for the first time since my procedure I got up the nerve to check my EKG. It shows "No abnormalities" with a heart rate of 75. Wonderful!!! I realize there may be hiccups yet to come but God is good so I'll wait and see.

I had pacemaker implant, 4-5 months ago for Brady sinus node dysfunction.
An Ablation 1 one month ago for paroxysmal Afib.
Went for my follow up last week
I had been laying low past month. I had fatigue episode and reported on my looprecorder app. EP on follow up looked at monitor said I had PACs , extra beat not to worry. I didn’t show Afib in the month and he took me off Flecainide, stay on Eliquis. he said I may get more of those PACs since not on F, continue monitoring. Told me I need to exercise, bring up my activity level.
I was able to do a silver sneaker chair/stand class yesterday. Then walked a few minutes after felt better , hit pickleball against wall a few minutes. Felt fine after.
But today at mid morning fatigue hit again. No other symptoms. I am hoping with exercise/ activity increase will reduce fatigue.
I am 66 yrs old tomorrow, 25 pounds overweight and need to push myself to exercise. Once I’m in group class I am encouraged. I’m also eating healthier, staying away from alcohol.
Happy to have found this nice support group 😊