Are you still taking a beta blocker or a calcium channel blocker per prescription? Some EPs want their patients to remain on a lowered dose of metoprolol, diltiazem, bisoprolol, or Sotalol for several weeks after an ablation, but the patient must self-monitor and report immediately any changes to their condition or symptoms. When a patient is in NSR (normal sinus rhythm) for many days after a so-far successful ablation, the heart may calm and find that it is suppressed by the chemical, meaning an artificially low heart rate. If that is the case, the EP may want you off of anything except the DOAC (apixaban or rivaroxaban) for stroke risk. Certainly by the time you get near your Holter monitor assessment, usually between Weeks 10-12, you would not want to have any residue in your system that controls heart rhythm or its rate. You and the EP would want a veridical assessment and record for several hours running of what your heart wants to do on its own in its current state.
I am still on 25mg Metoprolol. My local cardiologist (actually the PA) did not have any real comments regarding the low heart beat other than to say that below 50 is when they are concerned. My EP is located in Denver where I had the PFA done so all contact is electronic. I am in the process of getting their feedback. I really want to get off of all the meds.
I am still on 25mg Metoprolol. My local cardiologist (actually the PA) did not have any real comments regarding the low heart beat other than to say that below 50 is when they are concerned. My EP is located in Denver where I had the PFA done so all contact is electronic. I am in the process of getting their feedback. I really want to get off of all the meds.
I would do exactly as you are doing. A lot of close self-monitoring, and keeping a list of questions or observations to run past your expert/EP when you get the chance. Certainly he should not want you on a beta blocker past about the 6 week mark if there's no apparent ectopy because he would want a veridical assessment of your heart's true condition when the Holter monitor is issued to you near Week 10.
Another comment regarding the results of a PFA procedure is that my EP told me, and it was listed in the discharge documents, that I may go in and out of Afib shortly after the procedure, but these Afib episodes should stop. It has been 3 weeks plus since the PFA procedure and no Afib episodes. My only complaint is a low pulse rate (mid 50s to mid 60s) and some fatigue, and I sometimes walk around like I am drunk. I am back to doing all of my ranch chores including stacking some bales of hay.
EP thought to take my husband off BP meds after ablation to see if he “reset”, but BP was gradually increasing and bpm decreasing. He is take Norvasc now and 🤞that his BP and rate will be one within normal range.
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I am still on 25mg Metoprolol. My local cardiologist (actually the PA) did not have any real comments regarding the low heart beat other than to say that below 50 is when they are concerned. My EP is located in Denver where I had the PFA done so all contact is electronic. I am in the process of getting their feedback. I really want to get off of all the meds.
I would do exactly as you are doing. A lot of close self-monitoring, and keeping a list of questions or observations to run past your expert/EP when you get the chance. Certainly he should not want you on a beta blocker past about the 6 week mark if there's no apparent ectopy because he would want a veridical assessment of your heart's true condition when the Holter monitor is issued to you near Week 10.
EP thought to take my husband off BP meds after ablation to see if he “reset”, but BP was gradually increasing and bpm decreasing. He is take Norvasc now and 🤞that his BP and rate will be one within normal range.
which EP did the pfa ablation