Heart Rate after Ablation

Posted by beebo @beebo, Jan 7, 2024

Following my ablation procedure in November my resting heart rate has increased to 90-93 BPM . Before the procedure it averaged 68-74. My EP doesn’t seem to be concerned by this.
Any other folks here have a similar experience? Thanks

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I wished it was explained in the hospital when I was discharged. I had a pulse ablation and watchman procedure. Is been 3 weeks but I notice 4 days ago my heart rate went up 115 waking which is part of the healing process. It goes back to normal. Same as you my heart rate is higher than before. I was told as longest is not over 100 for 24 hour while you resting It was scary but now I understand. I still walk a mile every day hopefully in the future I be able to walk 2 miles return to gym too. Blessings to all of you and a great recovery

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Yes is the same for me.
My heart rate goes up when I start walking.
I had pulse ablation and watchman procedure done 3 weeks ago. Can one else tell me their experience ?
Also my Bp is higher than before while resting. Thank you

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Profile picture for veronica0127 @veronica0127

Yes is the same for me.
My heart rate goes up when I start walking.
I had pulse ablation and watchman procedure done 3 weeks ago. Can one else tell me their experience ?
Also my Bp is higher than before while resting. Thank you

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@veronica0127 It is exceedingly common, and normal, for an ablated heart to have an elevated resting heart rate for up to a full year after an ablation. Most hearts revert to their approximate former rate after a few weeks, a few months at most, but some patients report taking up to a year for this to happen. However, you're asking about an exertion rate, and that's different. You may not have known or seen what your former walking HR was, but your quoted rate is not at all surprising. In fact, I would be worried if you'd say you go out for a walk and your HR barely cracks 100 when climbing stairs or hiking up hill. THAT....would be worrying. Your rate is perfectly normal, expected, and even desirable...you WANT a reactive heart keeping you well oxygenated and nourished through rapidly circulating blood.

On the other hand, if you had reported that you go out for a neighbourhood stroll and your HR typically runs up to 145, that's probably not a great sign for heart health. It's too high...probably...and you should see a cardiologist. I say 'probably' because we're all different, and our hearts are all different, and exercise HRs are different. A cardiologist might find that you're perfectly fine and your heart likes and wants to run that high a rate when you're 'strolling'. What'reyuhgonnado?

To hopefully help to allay your fears even more, with another perspective: 'normal HR' range runs from 60 all the way up to 100 BPM. Yes, it's true! Some normal hearts, no cardiomyopathy, no rhythm defects, no valvular defects.....like to run normally at 95 BPM....at rest!! So, if you're walking at a reasonable clip and your monitor shows 115, that's a pretty safe place to be, and you should be reassured. 115 at rest? That's when you know you have an arrhythmia going on.

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Profile picture for gloaming @gloaming

@veronica0127 It is exceedingly common, and normal, for an ablated heart to have an elevated resting heart rate for up to a full year after an ablation. Most hearts revert to their approximate former rate after a few weeks, a few months at most, but some patients report taking up to a year for this to happen. However, you're asking about an exertion rate, and that's different. You may not have known or seen what your former walking HR was, but your quoted rate is not at all surprising. In fact, I would be worried if you'd say you go out for a walk and your HR barely cracks 100 when climbing stairs or hiking up hill. THAT....would be worrying. Your rate is perfectly normal, expected, and even desirable...you WANT a reactive heart keeping you well oxygenated and nourished through rapidly circulating blood.

On the other hand, if you had reported that you go out for a neighbourhood stroll and your HR typically runs up to 145, that's probably not a great sign for heart health. It's too high...probably...and you should see a cardiologist. I say 'probably' because we're all different, and our hearts are all different, and exercise HRs are different. A cardiologist might find that you're perfectly fine and your heart likes and wants to run that high a rate when you're 'strolling'. What'reyuhgonnado?

To hopefully help to allay your fears even more, with another perspective: 'normal HR' range runs from 60 all the way up to 100 BPM. Yes, it's true! Some normal hearts, no cardiomyopathy, no rhythm defects, no valvular defects.....like to run normally at 95 BPM....at rest!! So, if you're walking at a reasonable clip and your monitor shows 115, that's a pretty safe place to be, and you should be reassured. 115 at rest? That's when you know you have an arrhythmia going on.

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@gloaming thank you after I had the watchman and ablation nothing was explained. I read that you heart will be higher after this procedure. I had it done 3 weeks ago. In the last 4 days noticed when I get up to walk around the house my heart rate goes to 119 today walking in my home than goes to 85 or 79 when I walk a mile is 110 to 115 now I know is ok. It was very scary. Is called the new normal lol. I feel fine. Thank you for your help. I truly appreciate it.

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Profile picture for gloaming @gloaming

@veronica0127 It is exceedingly common, and normal, for an ablated heart to have an elevated resting heart rate for up to a full year after an ablation. Most hearts revert to their approximate former rate after a few weeks, a few months at most, but some patients report taking up to a year for this to happen. However, you're asking about an exertion rate, and that's different. You may not have known or seen what your former walking HR was, but your quoted rate is not at all surprising. In fact, I would be worried if you'd say you go out for a walk and your HR barely cracks 100 when climbing stairs or hiking up hill. THAT....would be worrying. Your rate is perfectly normal, expected, and even desirable...you WANT a reactive heart keeping you well oxygenated and nourished through rapidly circulating blood.

On the other hand, if you had reported that you go out for a neighbourhood stroll and your HR typically runs up to 145, that's probably not a great sign for heart health. It's too high...probably...and you should see a cardiologist. I say 'probably' because we're all different, and our hearts are all different, and exercise HRs are different. A cardiologist might find that you're perfectly fine and your heart likes and wants to run that high a rate when you're 'strolling'. What'reyuhgonnado?

To hopefully help to allay your fears even more, with another perspective: 'normal HR' range runs from 60 all the way up to 100 BPM. Yes, it's true! Some normal hearts, no cardiomyopathy, no rhythm defects, no valvular defects.....like to run normally at 95 BPM....at rest!! So, if you're walking at a reasonable clip and your monitor shows 115, that's a pretty safe place to be, and you should be reassured. 115 at rest? That's when you know you have an arrhythmia going on.

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@gloaming My original post was two plus years ago and I failed to provide an update since then.
After several months of my heart rate staying in the mid/high 90’s, I revisited with my Electro Cardiologist. While I had no irregular heartbeats, and technically it was not Tachycardia (>100 bpm), he recommended a “touch up ablation “. We did that and it went pretty quickly. Following that I have been back to a rate averaging in the mid 60’s with no irregular heartbeats.

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Profile picture for 68jwp @68jwp

I am a 69 year old female and was encouraged to see your post because I have also experienced an increased resting heart rate since my only ablation in February 2023. At the time I was diagnosed with AFib in Oct 2022 my cardiologist started me on Diltiazem 120 mg, Amiodarone 200mg daily and Eliquis 5 mg/x2 daily with a plan to meet with an EP and proceed with an ablation as soon as possible. During that time my resting HR was between 65-74. After the ablation, my EP had me continue the Amiodarone for the 3-month blanking period and my resting HR was then in the high 80's to low 90's and has remained above 80 ever since. I discontinued the Amiodarone May 2023 and am only taking Eliquis at this point. In June 2023 I wore a 30-day heart monitor and my resting HR had come down to an average of 82 which was fine with my EP. At this point I still monitor my resting HR on a Fitbit and it has stayed around 80-83. While I am active during the day, my heart rate tends to range anywhere from 85-115. Since I am at almost a year post ablation, I am hoping my resting HR will eventually start to go down a little more. If not, I am trusting my EP that it's nothing to worry about.

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@68jwp I had pulse ablation and watchman procedure done 3 weeks ago. 5 days ago I notice my heart rate getting out of bed start walking goes up to 116 hr it goes back to 72 to 80 I was told is normal after this procedure the blinking period. I feel fine little tired. I walk a mile just about every day I was told as longest is not 130 hr walking Or stay over 100 hr resting heart rate. Any one experienced this.
Thank you

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Profile picture for veronica0127 @veronica0127

@68jwp I had pulse ablation and watchman procedure done 3 weeks ago. 5 days ago I notice my heart rate getting out of bed start walking goes up to 116 hr it goes back to 72 to 80 I was told is normal after this procedure the blinking period. I feel fine little tired. I walk a mile just about every day I was told as longest is not 130 hr walking Or stay over 100 hr resting heart rate. Any one experienced this.
Thank you

Jump to this post

@veronica0127 Hi, based on what you have just mentioned my experience with HR has been very similar. In the weeks and months following my ablation on 2/14/23, my resting heart rate was even a little higher, averaging around 80-82. It would always go into the low 100's as soon as I was up in the morning and walking around, which I was told was completely normal and expected. I am now 3 years post ablation, and my resting HR has settled in the low 70's but always goes up when I am active and moving around. I read the post by @gloaming who gave a great explanation with more detail of what you should be expecting following your ablation. Since it has only been 3 weeks for you, I would expect that you might feel a bit tired on occasion as your body recovers, but that should ease off as you completely heal from the procedure. I feel very fortunate to have had an ablation early in my Afib diagnosis and which so far, has continued to be successful. I wish you the same.

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Profile picture for 68jwp @68jwp

@veronica0127 Hi, based on what you have just mentioned my experience with HR has been very similar. In the weeks and months following my ablation on 2/14/23, my resting heart rate was even a little higher, averaging around 80-82. It would always go into the low 100's as soon as I was up in the morning and walking around, which I was told was completely normal and expected. I am now 3 years post ablation, and my resting HR has settled in the low 70's but always goes up when I am active and moving around. I read the post by @gloaming who gave a great explanation with more detail of what you should be expecting following your ablation. Since it has only been 3 weeks for you, I would expect that you might feel a bit tired on occasion as your body recovers, but that should ease off as you completely heal from the procedure. I feel very fortunate to have had an ablation early in my Afib diagnosis and which so far, has continued to be successful. I wish you the same.

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@68jwp. Thank you for the information. Yes when I get up walk around heart rate goes up between 115 to 120 it goes back 72 to 82 if I am lying down or sitting is called the blanking period or my new normal for now. I feel great. I will go walking tomorrow one mile I will take my time see how it goes. Have a great night Thank you

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