Afib after ablation

Posted by RN Linda @vermontrob, Feb 15, 2017

My husband had afib ablation 5 months ago with complications- perforation of atrium, bled into pericardium, tapped for 600 cc blood, all of which caused pericarditis with symptoms. Has been back in afib several times despite Tikosyn and metoprolol, trigger seems to be pulse over 110 while exercising. He can’t do what he wants to do, which is even moderate exercise, without going into afib. What to do?? A “cleanup” ablation after his horrible experience? Stop being active? He is now on metoprolol 100mg twice daily. Thanks.

I haven’t been on this site for a while i had a cardiac ablation 6 months ago thought i was feeling better but for the last month i been having more pvc or extra beats been to hospital 2 times and had to go last night i was having pounding heart beats plus skip beats but of course soon as i get there they stop so nothing was determined i am on flecanite and antenolo took me off my blood thinner last wk dont know if it could be stress i worry alot i try to walk everyday looking for anything to make me relax.

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I am happy to report that my husband is greatly improved, it has been 8 months since the ablation. I am convinced that the heart muscle needed to heal after the trauma of the procedure (plus he had big complications). It is after all the burning of many places in the heart and it is the scar tissue that blocks the afib, at least that is my understanding of it. My husband had pulse that was too fast for what he was doing, after the ablation, for example one flight of stairs would bring his pulse to 100, and he is a conditioned man. Very recently that improved, and he had a treadmill stress test with perfect response plus no afib. So not to minimize your fear, (I was frantic with worrying) try to give yourself time to heal. His cardiologist suggested yoga to help him relax, and surprisingly he is going to try it. You WILL get through this and the year will become a bad memory…

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Glad to know ablation worked even if later rather than sooner. Its been almost 6 weeks since my ablation for paroxysmal afib and still experiencing spikes in HR and occasional lows. Movements like brushing teeth, making bed, or even a normal walk cause high rate. At rest it is usually in 50’s and 60s. Im on flecainide (50mg) and metropolol (12.5mg) and Pradaxa–2x day each. I get fatigued easily .. is all this normal? What symptoms will determine need for 2nd ablation? How long between first and second can it be done? I’m eager to get my life back!

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i had my ablation 6 monts ago i had same issues you are having it takes 6 months to heal thats what my doctor said i am still taking flecanite also plus a beta blocker they took me off of my blood thinner i still have issues lots of pvc heart beats hard sometimes havent went into afib in 6 months so hope it worked guess wont know for sure unless i go off all meds dont know when my doctor will try that .

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@mac4life

Glad to know ablation worked even if later rather than sooner. Its been almost 6 weeks since my ablation for paroxysmal afib and still experiencing spikes in HR and occasional lows. Movements like brushing teeth, making bed, or even a normal walk cause high rate. At rest it is usually in 50’s and 60s. Im on flecainide (50mg) and metropolol (12.5mg) and Pradaxa–2x day each. I get fatigued easily .. is all this normal? What symptoms will determine need for 2nd ablation? How long between first and second can it be done? I’m eager to get my life back!

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That is so interesting to me- my husband kept telling doctor that minimal activity – like making a sandwich or walking on a flat boardwalk- caused his pulse to go over 100, and it did not come right down as it should but took 30 minutes or so to reach normal. His cardiologist who did the ablation thought that was strange and asked if he had that before the ablation- this is a marathon runner, of course he didn’t have that symptom before! Anyway, the person who is 6 weeks out and asking about a second ablation- I would suggest waiting for at least 6 months, maybe even a year unless your symptoms cause serious problems. My husbands cardiologist told us about the fact that the heart muscle needs to heal, think of how long it takes for a broken leg to heal. And your heart is constantly beating, plus you are on blood thinners, which must make healing more lengthy.

Of course you want your life back, try to be patient though…

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@mac4life

Glad to know ablation worked even if later rather than sooner. Its been almost 6 weeks since my ablation for paroxysmal afib and still experiencing spikes in HR and occasional lows. Movements like brushing teeth, making bed, or even a normal walk cause high rate. At rest it is usually in 50’s and 60s. Im on flecainide (50mg) and metropolol (12.5mg) and Pradaxa–2x day each. I get fatigued easily .. is all this normal? What symptoms will determine need for 2nd ablation? How long between first and second can it be done? I’m eager to get my life back!

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Thanks for sharing; the information brought some hope that there is an end in sight. My rate has jumped to 200 and as low as 37.. once I stop all activity it settles in 60s. After 6 mo or year, did your husband’s doctor recommend a second ablation to resolve issue?

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@mac4life

Glad to know ablation worked even if later rather than sooner. Its been almost 6 weeks since my ablation for paroxysmal afib and still experiencing spikes in HR and occasional lows. Movements like brushing teeth, making bed, or even a normal walk cause high rate. At rest it is usually in 50’s and 60s. Im on flecainide (50mg) and metropolol (12.5mg) and Pradaxa–2x day each. I get fatigued easily .. is all this normal? What symptoms will determine need for 2nd ablation? How long between first and second can it be done? I’m eager to get my life back!

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His doctor talked about a “clean up ablation”, but didn’t push it. When your pulse goes to 200 is it regular? Any chance that you are going into afib? If that happens every day but it’s gone by the time you get to the ER, you might ask cardiologist about wearing a Holter monitor so he can see what your heart is doing.

How frustrating and. scarey for you…

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