hello just got my results from 48hr monitor

[duckpopper]

my results show I have atrial tachycardia ,and have been offered another ablation , I had my first ablation done a yr ago for paf , has anyone else got or had atrial tachycardia , as iam bit confused by it all thanks x

[BobD Volunteer]

After two of my PVI type ablations for AF I developed atrial tachycardia but on both occasions this was terminated by DC cardioverson and never returned. (until the next ablation). Hope that helps. Mind you this was within a month of the ablation each time so probably different from yourself. Have the second ablation if in doubt and be rid of the plague.

Bob

[duckpopper in reply to BobD]

hello when they were doing my first ablation they said they found something else svt? but treated one thing to stop the other , do you think I should have had both treated at same time or is this what the second ablation is about now

[BobD Volunteer in reply to duckpopper]

Second and third ablations are quite normal to tidy up. EPs tend to under ablate. It is like cutting a bit off a piece of wood. You can always cut off more but you can't put it back.

Bob

[duckpopper in reply to BobD]

ok thankyou that is a good way to look at it .

[Jumper in reply to duckpopper]

Hi Duckpopper.

As an explanation of SVT. When one is in sinus rhythm the atria beats a tiny bit earlier than the ventricle . The signal that starts it off is the sinus node and this signal is passed through the AV node to then fire the ventricle. The AV node acts as a gate so as to make sure the signal to the atria and ventricle are not at the same time. This gives the typical b-dum.

However when one is in AF the atria will be beating very rapidly and the signals that are firing the atria off overwhelm the AV node and the signals get through in an irregular fashion and cause the ventricle to fire irregularly but also faster than normal . This what is called SVT - supra ventricular tachycardia. The SVT is what you feel when in AF and what makes it so distressing.

So when you had your first ablation your EP would be ablating , hopefully, the areas within the atria that are causing the AF, in my case, the left atria, I had a pulmonary vein isolation (PVI). The pulmonary veins are often the main source of the random extra signals giving you AF.

If the ablation is successful SVT will disappear as the AV node will no longer be overloaded by too many electrical signals.

So the something else was not SVT.

[pip_pip]

Hi. Its quite common for flutter to appear some time after an ablation for a fibrillation. In fact its a good sign. It means the irregular beat was ablated but the speed not quite. Its a lot easier to treat aflutter than afibrillation. You can look at it as good luck. Although you prob don't feel like it. This all happened to me and hey presto (3 years later) all was corrected (so far). Look forward to it.

Be well

Phil

[MickN]

What exactly is atrial tachycardia and how does it differ from AF.

My ablation for My PAF is on the 17th February but getting confused on on these other conditions that can occur.

[duckpopper]

hello can anyone please explain the dif from atrial fibrillation and atrial tachy cardia , what happens with atrial tachycardia . I spoke to nurse yesterday but don't understand the difference either . with paf my heart used to race realy fast , but new symptom now is like heart feel like its got stuck then feel faint and bit breathless and dizzy

[Beancounter Volunteer in reply to duckpopper]

Hi Duckpopper

The best explanantion I have ever seen, is the heartbeat dance.

Best watched here.

youtube.com/watch?v=x5oq4Er...(Not working as expected?)

Be well (when you stop laughing)

Ian

[pip_pip]

Atrial fibrillation is an irregular heartbeat. Atrial tachycardia (referred to as flutter) is a regular but fast hearbeat with elements of the umbrella condition atrial fibrillation. Tachy usually shows itself, as you say by the heart being stuck at one speed. i e my heartbeat got stuck at exactly 144 bpm for long periods. It won't slow down but will just suddenly drop into regular rhythm. Tachy is easier to treat by ablation than Af. The meds are the same. I'm sure others will elaborate.

Phil