I had my 12 month post ablation review with my EP yesterday.
I have not had any AF episodes since the first two weeks following the procedure. I have had ectopics either individually or in groups of two or three together and on a couple of occasions runs of ectopics lasting an hour or so these seem to be fading away over time. These ectopics have been identified on the monitors I had at three and six months and the EP showed me print out and confirmed that these were premature beats and not AF. Fortunately they correlated exactly with my dairy and there were no other events I was not aware of.
My EP is happy to, in effect, discharge me but will also happily see me again should I have any concerns (or any episodes of AF). He thought the chances of getting a return of AF were very low.
The ectopics are fairly rare now and we agreed to use bispoporol as a pill in the pocket if I get a particularly bad run of them. He said that those who have had AF are acutely aware of them and we are attuned to every little blip that most people get but are not aware of.
Now the slight dilemma - anticoagulation!
We discussed this at some length - my CHDS2VASC score is 1 based on controlled hypertension. He said the stroke risk was very small and happy to recommend stopping the Apixiban, but should I have an AF episode to start again. He also mentioned the bleed risk with taking anticoagulation.
I did ask specifically what happens when I reach the age of 65 and become a 2 and he said without AF episodes the risk is the same as any 65 year old. This of course is a different take on things than the often expressed views here.
Based on the fact that I fully trust him, his skills and his judgement, and my preference for not taking drugs where possible, I agreed to stopped the Apixiban.
Has anyone else had this discussion after an apparently successful ablation? I would be interested to know if this is common particularly with patients treated at Liverpool.
Overall I am very pleased with the way things have gone and would without doubt have another ablation if necessary - certainly hope it won't be but you never know.
Thanks for all the support over the last 12 months.