OSA and afib

Great! That happened to me as well, same diagnosis, same severity. Unfortunately, my diagnosis came too late to stave off the onset of AF (atrial fibrillation). My AF was well-controlled for about three years and then it came on like gangbusters. It is now under control, but it was a five year journey and required two catheter ablations with radiofrequency energy applied to the disordered areas just inside the mouths of my pulmonary veins. Has your EP agreed to try a PVI on you...are you interested? (PVI is pulmonary vein isolation)

I don ‘t want to go under anesthesia .

https://www.sciencedirect.com/science/article/pii/S0972629222001486
https://pmc.ncbi.nlm.nih.gov/articles/PMC6743448/
You don't absolutely have to have a GA for a catheter ablation. It helps to keep still, which is important during the mapping, but it is not significantly better statistically over CA (conscious sedation).

I recommend you find an EP who will agree to use CA on you if you would really rather have the ablation.

Thanks

@gloaming I have AFlutter too. It’s my understanding the PFA doesn’t work on that but it does on Afib . What do know about AFlutter. I am falling apart -lolol

@merrychristmas Right der witcha. Honestly, by the time I got my second ablation for AF, people told me I looked distinctly gray. I couldn't hop onto the operating slab fast enough. They knew not to mess with me, too...I wanted the AF GONE! Worked like a charm, but that last 12 months was really hard on me.

PFA has been improved all this time and it has new implements so that it can be used not just in pulmonary vein isolation, which it was all through its trials in 2023. It can now be used on all of the atrial walls last I hear, and even at the coronary sinus. I cannot in good faith tell you that I know it can be used for flutter, but:
https://consultqd.clevelandclinic.org/pulsed-field-ablation-for-atrial-flutter-in-patients-with-af
Just so you know, it is quite common for an index ablation (first time ablation) to cause AFL, and the 'cure' is to simply ablate the new focus....wherever they find it (I think it means it was hidden all along and that the AF won out in the wrestling match for your left atrium). So, even though AFL most often is found in the right atrium, it CAN be in the left. Happened to me as they found out during an attempted cardioversion in the ER. They injected me with adenosine, warned me that I would feel like the room was closing in on me and that I was going to die, but it passes in 10 seconds. The drug slowed my heart to the point where they got a clearer picture on the ECG and the internist pointed at the graphic and said, 'See? Flutter.'