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Ablation vs med management?

Heart Rhythm Conditions | Last Active: May 19 2:17am | Replies (5)

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@gloaming

Has propafenone been tried? Multaq, Sotolol....? I don't know how you'll feel about my advice, nor how my advice will be taken by the good folks who monitor the discussions at Mayo, but on the afibbers.org forum where I am, the two chief moderators both have extensive experience on the subject, and both have been successfully ablated by Dr. Andrea Natale of Austin Cardio in TX. He is well known, travels to several hospitals, mostly out west, and performs ablations and watchman implants almost daily. He was trained by the vaunted Dr. Pierre Jais in France. If you are not averse to travel, and want one of the top 10 electrophysiologists on the planet....

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Replies to "Has propafenone been tried? Multaq, Sotolol....? I don't know how you'll feel about my advice, nor..."

Thank you for the advice! Appreciated greatly!! Multaq, Sotolol are not appropriate for my situation, but we did try Multaq. I will look into an outside EP consult/ablation as well. Thank you!!
As for the ablation, I had one successful ablation in 2021 that lasted a year and a half. The second ablation was attempted but they were unable to induce the rhythm so they recommended medical management. I have mostly CNS side effects (headaches , anxiety/agitation, nausea, dizziness, etc. I have a normal blood pressure that is low, so I have less room to wiggle with the heart meds. I am trying Norpace next but am cautiously skeptical as I have had so many issues. I know the ablation is not risk free, but it would be nice not to spend the rest of my life in meds (I am 48).