AF again & DC cardioversion no. 12!! - Atrial Fibrillati...

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AF again & DC cardioversion no. 12!!

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Disappointed to report that I went back into AF again on Thurs just 4 months post my last DCCV & 11 months post my 3rd ablation. I don't know where this 'came from'-- just woke up at 1am with very disturbing fast AF.Took 5mg Bisoprolol but it was an hour before things calmed down a bit. Didn't sleep.Decided I would take further 2.5mg Bisop. at 8am but at that time my BP was 77/60 so decided against it as I was also feeling a bit ' spaced out ' . Took some fluid ' onboard' which eventually raised systolic to 100. Time to put 'Plan B ' into action so phoned GP's surgery for advice & was asked to come in for ECG etc. As a result GP phoned local hosp. & spoke to AMU consultant who advised me to come in to be checked out & to take 2.5 mg Bisop. straight away.( not surprisingly, given my history , he knows me quite well! )Went to AMU at about 1pm & was eventually given IV Amiodarone

which didn't do anything so DC cardioversion arranged for next morning. Reverted to NSR with one zap& now await follow up with EP. I'm sure he will be very pleased to see me again ( ?! ). That was my 12th cardioversion & I feel that i have almost had enough. Ep thinks that the trigger for my AF ' might be an unusual focus, being SVC, common left atrial appendage or coronary sinus'. Can't pretend to understand that! Anyway it looks like a further ablation is on the cards. A part of me wishes that Ihad never gone down the ablation route. Does anyone else feel like this?

Sandra

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7 Replies
Terjo profile image
Terjo

Cheer up Sandra, I know what you mean about the" spaced out " feeling that's what happens with bisoprolol with many people. I really hope you get things sorted soon . Good luck Terjo

jeanjeannie50 profile image
jeanjeannie50

Sorry to hear that Sandra . Well, after our chat, you know how I feel about ablations!!

Jean

rosyG profile image
rosyG

Yatsura- very sorry to hear you are suffering- do you mean things rare much worse since ablation? very helpful for us to hear about your experience- really hope you settle down now and things ease for you

in reply torosyG

Hi Rosy -- thank you for responding, sorry i am late in replying. No, I wouldn't say I was worse, although it has at times felt like it, more a case of feeling different.I normally feel ' reborn ' after a cardioversion but not this time. I think this may be due to the Amiodarone infusion & bisoprolol. Feeling better today though. Don't let me put you off having an ablation . My situation is a bit complex & my diagnosis was a long time ago. My husband only has to remind me how bad I was before my 1st ablation & how he used to sit with me in hospital with the heart monitor going well into the 200's. I was strongly advised to go down the ablation route after a bout of heart failure ( thankfully only one bout ). I suppose I had expected to feel completely rejuvenated & that I most certainly haven't!

iris1205 profile image
iris1205

Hi Sandra, what a history - you are so brave! I can understand your frustration and I am only starting. I have looked into many of those issues (different foci) and apparently for good reason. I am scheduled for my ablation for next week and they will be doing a substrate ablation with a catheter that burns lines instead of dots which seems to not leave as many gaps AND goes into more detail. Might ask about substrate ablation. Take good care.

Best of luck next week with your ablation Iris. Do let us know how you get on. I do know that some of the work done on my heart included linear block in the roof, mitral isthmus & right atrial isthmus which to me indicates that lines were burnt. I shall have to ask. Sandra

iris1205 profile image
iris1205

I believe this is why my EP has chosen the Substrate ablation.... look into this document. LInear lines instead of "spot welding". Very interesting.

ncbi.nlm.nih.gov/pmc/articl...

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