1. < Heart Rhythm Conditions

Sinus Rhythm with wide QRS

Posted by insley @insley, Mar 13 12:21pm

After 2 ablation surgeries for PVCs and SVCs I remain on Flecainide 100mg x2/day. Since the second ablation I’m left with RBBB and SR with WIde QRS. PVCs are not as bad but I still have symptoms. Anyone have a similar experience ? Thoughts?

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Moderator
Justin McClanahan, Moderator | @JustinMcClanahan | Mar 19 2:52pm

Hi @insley, I'd like to invite @sloped483 as they also recently talked about having a higher than normal QRS as well as a RBBB.

@insley, has your provider discussed what your next steps are after having two ablations and continued issues? How are you doing on Flecainide?

REPLY
2 replies
sloped483 | @sloped483 | Mar 20 5:37am

Hi insley,

I have a QRS of 160 which I am told by my cardiologist that it is indicative of RBBB. I've had a full cardiac workup (including a heart catherization) and have no other heart issues but I am still monitored every several months for stability/progression.

From my understanding about PVC's is that stress can make them more frequent.

Do you know what caused your SVC to require an ablation?

And overall, how do you feel after your second ablation even though you remain on Flecainide? Better or worse?

REPLY
1 reply
insley | @insley | Mar 20 11:30am
In reply to @JustinMcClanahan "Hi @insley, I'd like to invite @sloped483 as they also recently talked about having a higher..." + (show)
@JustinMcClanahan

Hi @insley, I'd like to invite @sloped483 as they also recently talked about having a higher than normal QRS as well as a RBBB.

@insley, has your provider discussed what your next steps are after having two ablations and continued issues? How are you doing on Flecainide?

Jump to this post

My EP recommended amiodarone after the second ablation. I asked to continue Flecainide as I was feeling a bit better and was hesitant to start amio in fear of side effects. As of now (6 weeks post surgery) I’m feeling pretty well with fewer PVCs and have resumed most of my usual routine including exercise and golf. My SR with wide QRS is indicated by my Kardia device 6 lead EKG. This is new and probably caused by the recent surgery. Will discuss with my EP follow up in two weeks. Occasionally I have added 25mg Flecainide mid-day when palpitations emerge. This seems to help me get to the evening meds.
I’m also taking diltiazem and Valsartan.

REPLY
insley | @insley | 3 days ago
In reply to @JustinMcClanahan "Hi @insley, I'd like to invite @sloped483 as they also recently talked about having a higher..." + (show)
@JustinMcClanahan

Hi @insley, I'd like to invite @sloped483 as they also recently talked about having a higher than normal QRS as well as a RBBB.

@insley, has your provider discussed what your next steps are after having two ablations and continued issues? How are you doing on Flecainide?

Jump to this post

Generally doing pretty well. Palpitations are mild and not as frequent. However, I am often drowsy and feeling sleepy. Anyone link Flecainide (10mg 2/ day) and/or diltiazem to fatigue or brain fog? RHR 52. I’m going to ask my EP if reducing any of these meds might help.

REPLY
1 reply
insley | @insley | 3 days ago
In reply to @sloped483 "Hi insley, I have a QRS of 160 which I am told by my cardiologist that..." + (show)
@sloped483

Hi insley,

I have a QRS of 160 which I am told by my cardiologist that it is indicative of RBBB. I've had a full cardiac workup (including a heart catherization) and have no other heart issues but I am still monitored every several months for stability/progression.

From my understanding about PVC's is that stress can make them more frequent.

Do you know what caused your SVC to require an ablation?

And overall, how do you feel after your second ablation even though you remain on Flecainide? Better or worse?

Jump to this post

Palpitations are decreased. Hard to tell the original cause of these arrhythmias. I did have COVID about 8 weeks prior to noticing symptoms. Overall, I’m feeling better most of the time.

REPLY
insley | @insley | 3 days ago
In reply to @insley "Generally doing pretty well. Palpitations are mild and not as frequent. However, I am often drowsy..." + (show)
@insley

Generally doing pretty well. Palpitations are mild and not as frequent. However, I am often drowsy and feeling sleepy. Anyone link Flecainide (10mg 2/ day) and/or diltiazem to fatigue or brain fog? RHR 52. I’m going to ask my EP if reducing any of these meds might help.

Jump to this post

Correction: 100mg Flecainide.

REPLY
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