Has anyone had a Fara Pulse ablation procedure?

Posted by debmonroe @debmonroe, Feb 1 10:33am

Just had second ablation on 1/30/26 using Fara Pulse. When discharged I was put on Multaq. 24 hours later I am back in Afib and pretty discouraged, even though told abnormal rhythm is not unusual for up to 3 months post op and new med can also cause abnormal rhythm. Just looking for a little hope. 😞

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

I know it's disconcerting, but each heart gets to sing its own composition on this....it's much too early to fret. If your rate remains above 110 BPM for 24 hours, go to emerg and they'll put you on a metoprolol bolus to get the rate busted, but that's about all they can do. Or maybe all they'll offer to cardiovert you. They should. However, I was told firmly that an ablated heart is like a reset heart and that it should be cardioverted as a possible 'fix'. Inquire about a cardioversion and see if that doesn't put you in NSR...happily.

I know of people who developed AF about six months after an ablation, and then it stopped and it's four years later without incident. So, it's all over the map...unfortunately. But it's too early to throw in the towel.

REPLY

@gloaming thanks for your words of encouragement. I’m trying to keep the faith.

REPLY

Inform your care team about your concerns. They should be able to provide you with the best recommendations for any required next steps. Or go to the ER to get the situation checked. I underwent Fara Pulse ablation in January 2025. It took about 3-4 weeks before I felt "recovered" and a bit longer before I felt ready to resume my usual activities. Others on the site report much faster recovery times. As I am sure you've been told, everyone's body is different, and their path to recovery will vary. Best wishes.

REPLY
Profile picture for nevets @nevets

Inform your care team about your concerns. They should be able to provide you with the best recommendations for any required next steps. Or go to the ER to get the situation checked. I underwent Fara Pulse ablation in January 2025. It took about 3-4 weeks before I felt "recovered" and a bit longer before I felt ready to resume my usual activities. Others on the site report much faster recovery times. As I am sure you've been told, everyone's body is different, and their path to recovery will vary. Best wishes.

Jump to this post

@nevets thank you. Had a better day yesterday with HR staying fairly steady. I’m not very good at taking it easy so I will take your advice to heart (literally) about 3-4 weeks recovery.

REPLY

I had my PFA done in May 2025 at UC Health in Aurora, CO and the use the Fara Pulse system. I have been AFib free since then. Off of metoprolol after about 2 months post ablation. Eliquis because of my age. Doing lots of walking, Tai Chi and other cardio exercises with no problems.

REPLY

Thank you for sharing your experience. I’m already back in Afib but hoping to make some headway eventually. Keep the faith is my new mantra.

REPLY

I had my Fara Pulse ablation done in February 2025 at Mayo Rochester (my first and hopefully my last though I'll quickly sign up again if needed). They told me I might still have a few episodes until the heart settles down. I did have a few short episodes in the following days. To be fair, some due to me going out to shovel snow the next day (it was a bad snow day), but none lasted long (minutes instead of my usual 20+ hours). Now, life has been great for me, back to jogging (though I mostly prefer a fast walk but I can jog without fear of going into AFib later). I can have a few beers. I can push heavier weights and put some stress on my body. I have my life back. No one can say why yours is not working so well and you didn't say how long your first ablation lasted. My own experience with health care (heart, cancer) is that WHO does the work is critical. Not all auto mechanics have the same skill. In my long life, I've had some procedures that didn't work as well as I'd hoped. I eventually leaned to just do the traveling to a hospital ranked as #1 in America. Very happy with that decision for all of my last work. 73M.

REPLY

Wow! Great results for you! My first ablation did pretty well for 2.5 years. I found out that the first EP hadn’t addressed an area of scar tissue that was seen and “perhaps” why my Afib returned and with a vengeance. My new EP went in last week and found more scar tissue than he was expecting, I think. He did the best he could but had trouble getting me back into sinus rhythm. When he did it lasted about 24 hrs. So now I am on Multaq and metoprolol. I’m still holding out hope that my story will improve over time. Though I’ve always been an avid exerciser, I have also made major life style changes over the last year, so I am hoping that will help me. Like you, I find being able to exercise and do a little jogging is life-giving, so I am hoping to get back to my regular routine ASAP!

REPLY

I had cryoablation for AF in Nov 17. For approx 2 months I experienced sporadic short episodes of AF. My reading plus EP said these episodes are normal after ablation. PArt of the so called "Blanking Period" when the heart regains its equilibrium after the disruption caused by the procedure. Sure enough, after 2 months the AF spells ceased and I was AF free after that. In 2021 about 4 yrs later I started experiencing some infrequent short episodes of AF again and almost continuous ectopic beats - PACs and PVCs. At one point I went to ER after 2 hrs but AF stopped on its own. The spells are pretty easy to self diagnose - smart watch traces, fatigue and bpm > 120. My Ep has offered another ablation and I may well do so. Ive read statistics that on average ablations are good for about 5 yrs before symproms reoccur. One of my friends had to have 2 ablations before his symptoms ceased - EP failed to modify all the erroneous paths the first time. Another friend had Pulsed Field procedure last year and has been AF free ever since. From what I've read PFA is similar to older methods in its efficacy but carries less risk that surrounding tissue can be damaged.
FYI, I've put off a second ablation because I've found that the level of thyroid hormone affects my arrythmias. Since I adjusted my levothyroxine dose down, my AF episodes and ectopic beats have ceased entirely and I'm in the best place I've been in 3 yrs. I'm a little unique in that my thyroid was removed many years ago so I must take levothyroxine daily. But If you haven't considered your TSH level then I recommend that you discuss with your EP.

REPLY
Profile picture for chickenfarmer @chickenfarmer

I had cryoablation for AF in Nov 17. For approx 2 months I experienced sporadic short episodes of AF. My reading plus EP said these episodes are normal after ablation. PArt of the so called "Blanking Period" when the heart regains its equilibrium after the disruption caused by the procedure. Sure enough, after 2 months the AF spells ceased and I was AF free after that. In 2021 about 4 yrs later I started experiencing some infrequent short episodes of AF again and almost continuous ectopic beats - PACs and PVCs. At one point I went to ER after 2 hrs but AF stopped on its own. The spells are pretty easy to self diagnose - smart watch traces, fatigue and bpm > 120. My Ep has offered another ablation and I may well do so. Ive read statistics that on average ablations are good for about 5 yrs before symproms reoccur. One of my friends had to have 2 ablations before his symptoms ceased - EP failed to modify all the erroneous paths the first time. Another friend had Pulsed Field procedure last year and has been AF free ever since. From what I've read PFA is similar to older methods in its efficacy but carries less risk that surrounding tissue can be damaged.
FYI, I've put off a second ablation because I've found that the level of thyroid hormone affects my arrythmias. Since I adjusted my levothyroxine dose down, my AF episodes and ectopic beats have ceased entirely and I'm in the best place I've been in 3 yrs. I'm a little unique in that my thyroid was removed many years ago so I must take levothyroxine daily. But If you haven't considered your TSH level then I recommend that you discuss with your EP.

Jump to this post

@chickenfarmer thank you, I’ve never thought of TSH levels but a good point! Glad to hear another positive story!

REPLY
Please sign in or register to post a reply.