Just returned from visit to EP here in Scotland. Having taken myself off of Amiodarone (200mg) and Bisoprolol (10mg) and Ramipril(5mg) back in the Spring of this year because they weren’t bringing my rate down below 120, I initiated lifestyle changes, increased supplements including high dose magnesium, focused on weight loss, and was feeling a whole lot better. Not even a small glass of wine and I lost 18 pounds! But my heart rate kept slowly increasing….as did the size of my left atrium (unbeknownst to me until today’s ECHO).
Note: He offered me an ablation last year at this time and I decided to try lifestyle changes, supplements, etc. Perhaps a big mistake.
I’m now at 145-150 resting pulse and a 5.9 LA size! Apparently I am out of range for a PV ablation (above a 20% success rate) and he will not do it nor does he think any other doc will. He recommends going back on Bisop starting at 2.5 and going incrementally to 15 if necessary and adding Ramipril back in. I now become a Bisop zombie again….but, nevertheless, a walking zombie). Also he offered me a “Pace and Ablate” the AV Node. He can put a pacemaker in next month, give it 2 or 3 months to settle in and then do the AV Node ablation. I’m 70 years old, have been in good health all my life until this started in 2014.
Does anyone know of any other options? For instance, is a mini-maze a possibility in order to avoid the Pace/Ablate?
Also, for anyone out there who may be in a similar situation (high heart rate and opting for lifestyle/supplements instead of ablation), if I had it to do over again, I would go for the ablation.
Best wishes to all,