Afib in weeks after ablation

Posted by ladylennie @ladylennie, Jul 7, 2025

I know episodes of afib are considered normal in the weeks (months) after ablation. What duration is normal? What heart rate? At what point do you go to the er. I can't ask my ep because im currently out of the country for a month.
Last night I went in afib with my heart rate in 140s/150s. I went to the local er but was back in sinus rhythm by the time I was seen. Total episode 1 hour. Should I have waited it out or was going to the er the proper procedure? Any advice?

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thank you so much for your reply and I am so glad things went better the second time, how did the first fail manifest for you?

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@alexjo Waited the requisite six days before immersing myself in the hot tub near 1000 hrs, but as soon as I did, my heart, which had not been all that great in terms of being 'better' (I went for a short walk the second afternoon, back home, and struggled with breathlessness and a rapid heart rate), lurched into AF. I had a requisite physician's assessment, family doctor, per instructions later that morning. When he felt my radial pulse, he raised an eyebrow and said, 'You're in AF.' He sent me to the hospital for an urgent ECG, which they did immediately I arrived, and the tech offered to walk me down to emerg....no question my heart was not happy. I was told to cease metoprolol from then on, and placed on amiodarone that afternoon.

To be more clear, I have always been highly symptomatic where many haven't a clue they're in arrhythmia. I can feel a surge or a swelling in my chest just before AF starts, and I can sense the thumping and bumping that ensues. So, as soon as it started when I immersed myself, I knew it was AF....AGAIN! However, being well-read, I knew that AF happens to a great many post-ablation patients, especially early in the blanking period. So, I wasn't concerned until my GP said I needed a proper ECG.

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I’ve had an ablation for SVT Heart rates as high as 240. I know A fib is more serious but I’ll tell you what helps me. Also maintaining an eye on your fluid and electrolyte and doing labs to check that. I am 65 and have had bouts of this since age 19. At 57 it lasted 4 hours and nothing I did stopped it so I went to the ER and they gave me Adenosin through my antecubital vein. Which stopped my heart( talk about a super weird feeling!)I converted to regular normal sinus rhythm and they sent me home and then appointment with a cardiologist. He put me on Beta blockers which control slow your heart rate. Needless to say on day three my BP was 60/30. On a good day I run 90/60. I also run about 70 on pulse and that was in the low 50’s. I Called the Dr and he tells me to drink lots of salty water and come in to see him. I did and three days later I had the ablation and it worked I’d say 94%. I have little runs of tachycardia( fast heart rate), but few and far between. I have low BP so meds were not the way for me to go. All said. I also have a very slow gut and on Linzess which isn’t enough so every night with my miralax I take Magnesium. I take Magnesium citrate which is best for constipation but if your gut movement is normal Mag Glycinate is best. Since starting that I have a rare bout of the tachycardia and I don’t have the severe cramps in my legs that would wake me up at night. Check with your Dr first. If you have a good liver and kidneys and your Magnesium is pretty normal ask your Dr if you can try it. I do get my labs checked every 6 months.

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