Tachycardia following Ablation

@charlottedixon6769 can you take a beta blocker like Metoprolol?

can you take a beta blocker like Metoprolol?

Has anyone experienced the following? I had a "mild" car accident (with a dog) dog ok. But I braced for impact and had severe muscle pain that manifested about 3-4 days later. But the worse part was about 2.5 days later I had an Afib episode that landed me in ER - NEVER have I had this - it self resolved after about 3-4 hours and was put on Eliquis as a precaution but only for a few days. My ablation for AVRNT was done in February 2025 and I had complications, Cardiac Tamponade and needing CPR to be brought back and then Post Cardiac Injury Syndrome but I am off all medications and feeling for the most part fine. My doctors said that AFIB can be trauma and stress induced and all my imaging shows a very healthy heart. They think this is a one time event. But It took me almost a year to get over the fear that cardiac tamponade would happen again and I wouldn't be by someone who could do CPR like in the hospital after the ablation. So now that fear is back that I am destined to have AFIB. It's messing with my mind and putting me back into my house. I was feeling so good before the accident and living life. Has anyone just had a one time AFIB because of trauma and been fine after? It has been a month now and no problems but it's always in the back of my mind now.

@red350 Tamponade is a known risk during a cardiac ablation. It's rare. It could happen again, but usually it's a mechanical cause, often tissue perforation, and not related to you, specifically, or your particular anatomy. IOW, it's most likely an error in positioning and in the application of too much energy in one place or in several adjacent places.

The risk is exceedingly low...you were just unlucky. With an expected rate for tamponade running at 0.1-0.2%, it means it runs about one in every thousand ablations. I'm sure it's a head-shaker for you, and nobody would fault you for feeling once bitten and twice shy.

Arrhythmias tend to follow one another. PACs treated with ablation will sometimes result in full-blown AF in due course. Or, AF successfully ablated leads to AFL (atrial flutter), which is easily corrected...but only with another ablation. And so on...

Once the heart decides it is now electrically disordered, it tends to progress if it's AF. The advice from the medical community is that you want AF treated in its earliest and most tractable stages, not when it advances and is much more difficult to manage well. So, it seems you are going to be invited to have another ablation if this crops up again. It MAY BE a one-off...it happens, such as when a person drinks on a binge and gets what is known as 'holiday heart'. They get AF, they go to the ER, they're given fluids and rest, and then waved out the front door of the ER on Monday morning. Maybe also with a cardioversion to correct the rhythm. Speaking of which, you may respond well to a cardioversion if you get another AF blip in the months ahead. They do work, sometimes for years.

Yes I was unlucky. My electrophysiologist had never had this happen in her over 15+ years of doing ablations and then resulting in PCIS. So yay me. She said before my surgery that I was the healthiest patient she'd ever done an ablation on.....should not have jinxed it. But she and the other cardiac doctor seem to think the AFIB episode was due to the accident and called it Paroxysmal atrial fibrillation episode that they don't think will return. But still......it took me a LONG time to get over the fear of tamponade and I think I've conquered that but now have to tell myself daily that AFIB is not imminent or may not ever return. Just disheartening to have gotten on the other side of PCIS/tamponade and have something else heart related happen. I thought this was behind me and now I'm back to thinking maybe I should not babysit my infant grandson because what if something happens? I have to get over that. Thanks for your response. I appreciate it.

What would they ablate for the second time if your rythm is in sinus?

I’ve had Supraventricular Tachycardia (SVT-was diagnosed in 2008) took an arrhythmia medication, had an ablation in 2022. In 2025, I started experiencing fast heart rate & slow heart rate, 50’s & 40’s. I have gone through wearing holter monitors, 2 different stress tests, bloodwork & I’ve been to the ER several times.
My Electrophysiologist diagnosed me with Bradycardia & Atrial Tachycardia (kind of like SVT) & I just had a pacemaker put in April 2025. I’m also on FLECAINIDE & Metoprolol SUCC ER Tabs daily. I have times I feel unwell but I have Hashimotos & Hypothyroid too. Prayers & hugs….

I’m having Tachardia now. Had ablation several years ago. Worked well for 4 years. I’m wondering about living with the fast heart beat. Making me tired. My HR is 110

Yes, my heart rate got up to about 170 but most of the time it got up to around 150, 140. I was diagnosed with Supraventricular Tachycardia in 2008, took arrhythmia medication from 2008-2022 & then it just got out of control ! I had my Ablation in 2022 & then my HR started going high again in 2025 ! I’m now taking 2 medicines & I do thank God for the pacemaker !! I am still tired but my surgery was about 6 weeks ago.

@poojamama

I take Metoprolol Succ ER medication because I have Atrial Tachycardia.