Where to go?
I am in my mid-60's and have persistent Afib and have had it for a while. I had a cardioversion, a few months back, it restored my natural rhythm. Unfortunately it only lasted about a day and a half. My doctor wanted to put me on a drug (don't recall the name but had some real nasty side effects) in order to do another cardioversion in order set up an ablation. I realize this is the standard progression for Afib: cardioversion, ablation, pacemaker... I have read a lot about these procedures and, given my age and that I do have persistent Afib, the chances of any of these procedures working are well under 50%. I take a blood thinner now and I read that people can live a relatively normal life with Afib and blood thinners. I am just not sure going through all these procedures with minimal chances for success is really worth it. I would like to get other folks thoughts on this.
Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.
Connect

I have done all these things but, to be clear, my Afib is still permanent. These lifestyle changes I know are necessary to hopefully help avoid future complications but I am under no false illusions that because of them my Afib will go away.
-
Like -
Helpful -
Hug
1 ReactionTo sjm46: Amen. You’ve said something that needed to be said.
-
Like -
Helpful -
Hug
1 ReactionMaybe it’s the fact that there were fewer food additives and preservatives in the food you were eating.
It seems like my vagus nerve and gut control my Afib. I make food and Eat at home no Afib. I eat restaurant food and most of the time I get a huge chest bubble followed by Afib in a few hours.
I need a Doctor that treats this.
-
Like -
Helpful -
Hug
1 ReactionI think that for you, this may definitely be a factor. Everyone is so individual with this. On the issue of food additives in France, let me tell you that may be possible since the food for the average citizen there us pretty unexciting. I don't care if I ever see another baguette! LOL Their selection of vegetables and meats were limited since meat is very expensive. We did eat a lot less processed food and heavy oils like mayonnaise. I never did find any peanutbutter! The first thing we did when we got back to the states was go out for a good hamburger! I wish you good health; it is cheaper to eat at home anyway!
I hear you; while I have the A-fib in control, I do take a lot of meds--some prescribed and some OTC. Unlike you, I can't stand the feeling of being out of atrial rhythm; it just makes me so uncomfortable and annoyed. I have been told that many folks really don't feel bothered by the arrhythmia, so if it is constant, there really isn't much you can do to change that. I am holding out for an ablation at this point since the small dose of anti-arrhythmia drug I am trying has been working so far, but if it fails then I am in for plan B. The other thing that makes my situation tolerable is that my insurance company pays for most of my meds; some folks are just paying a lot for Eliquis alone. These med costs can be a real drag on someone's budget. Take good care!
-
Like -
Helpful -
Hug
2 ReactionsOne thing to consider is that, the longer you put off an ablation, the more difficult it is for the electrophysiologist to successfully block all the spurious signals. The reason is that the heart is now electrically disordered, but it continues to evolve in this process, always 'improving' itself in how to ensure it gets more and more incorrect signaling. That is to say, it continues to develop new foci or reentrants for the signals, and you'll need more and more drugs to beat it back. By the time your EP can get to you, you're very advanced and may even find that drugs no longer work at all. So, for two reasons, you should get an ablation as early, and as soon, as possible. They are: a. that your case becomes more difficult the longer you put off the procedure, and b. the heart continually remodels itself when in AF, and that means atrial enlargement, ventricular enlargement if the AF compromises the mitral valve, and eventual heart failure if it goes on for years.
So, you apparently are still in the paroxysmal stage of the disorder. That's great! It means that a simple PVI (pulmonary vein isolation) should suffice for you. But the longer you go, the more complicated and difficult it becomes, and by then you'll have twice the medication in you that you have now.
So, my message is mainly that, while things are good now, and you may have solid reasons for not wanting an ablation just yet, mind letting your heart advance itself to the point where you have more breakthrough episodes of ectopy, need more or new drugs, and you get more and more remodeling going on due to the heart's insistence that it wants to beat irregularly. Early is better when it comes to the electrically disordered heart. Ablation is now the 'gold standard' of treatment for AF.
-
Like -
Helpful -
Hug
3 ReactionsDear gloaming
While your message is certainly well-meaning, it communicates a level of knowledgeability and authority that goes beyond simply parroting widely available information. Many folks on this site are hurting and desperate for answers. In all fairness to them, I think it would be appropriate to preface your comments by stating the source(s) of your information, as well as reminding them that you are not a medical professional and finally urging them to seek qualified medical attention. To me, this site is most valuable when used for sharing personal experiences, not for dispensing medical advice. Just saying, thanks.
-
Like -
Helpful -
Hug
4 ReactionsI do that repeatedly. Almost every time I post. I don't post medical advice. I post what I have learned, and nothing more. If you know differently, kindly follow your own counsel.
In the spirit of good will, see this: https://www.heartrhythmjournal.com/article/S1547-5271(24)00124-3/abstract
-
Like -
Helpful -
Hug
1 ReactionI appreciate any and all feedback. Thank you all for your input.
-
Like -
Helpful -
Hug
1 ReactionCan you please share with me what an episode is like. I’m currently here at Mayo to figure out what is going on. Have holster monitor on as I type. Have been held over to next week for test with cardio and consult. I know I am tired of my episodes and trips to the ER