I don't feel very happy this morning after an appointment with my cardiologist.
I was diagnosed as having intermittent A/F and atrial flutter, that was just over 3 years ago,
it was pick up at a routine ECG prior to having a hernia operation.
I tried various drugs until a suitable combination/quantity was found to stabilise the condition
( 10mg bisoprolol and 62.5 digoxin plus warfarin) however I believe bisoprolol and digoxin's main purpose is to control heart rate but has little effect on the actual regularity of the heart beats.
Twice last year I took myself to A and E and was admitted to hospital when my heart rate reached 200 bpm.
On both occasions I was offered the choice of an ablation or try a different drug combination,
I decided to try drugs and this keep me functioning reasonably well so far.
Yesterday I was told that due to my age (76) there would be dangers in having an ablation.
( yet just a few months ago when I was 75 I was offered an ablation)
He said if the symptoms get worse a pace maker would be fitted.
However this does mean that the electrical signal pathway which fires the ventricle would have to be ablated for the pacemaker to operate successful.
This sounds just as much a risk to me as the more common ablation, where the rogue signal sources in the atrium are found and ablated.
I would be willing to try this rather go straight to having a pace maker fitted.
What does make me feel a bit down is that the main reason for the decision not to offer me an ablation is my age. but I suppose the NHS in Scotland have limited resource and maybe a cut off age for certain procedures has been decided.
Also in Scotland there are only 3 EP surgeons (2 of which do private patients) and that for the population in Scotland of approx. 5 million.
( incidentally I am fit , I walk at least 2 miles per day ,go to the gym, I do a bit of mild exercise usually twice a week, gardening etc.) I know I am old and really lucky to be as fit as I am but it hurts when someone actually confirms am old.
Maybe I haven't grown up what ever that means no point now at 76,
I am just a 30 year old in a 76 year old body