Need advice Please!!

Over the last several years I have had 2 Cryo ablations for A-fib. The last one being 8 months ago. Started feeling bad recently, went to my Doc who put me on a 2 week monitor of my heart. Come to find out he feels like the A-fib is gone but now I have developed Flutter. He wants to do an ablation this (Friday) he says an ablation for Flutter is much easier, less complicated. I take Propafenone and Metoprolol, I have had a high pulse ever since the Flutter kicked in 4 weeks ago. Do I need to have this Flutter ablation, Or is there other alternatives.

7 Replies

  • Hi! I suffered badly with Atral flutter after two PVI ablation. I then underwent an ablation for the flutter and it gave me great relief. I had more problems with flutter than AF

    It's usually a much quicker and simpler procedure as it is the right atria which is accessed so the transseptal puncture to get to the left in a normal AF ablation is not needed.

    I wouldn't hesitate for a moment if I needed this again but hopefully I won't as it has a very high success rate ....Over 95% I think.


    P.S. medication did not help with my flutter, it just got worse

  • Yatsura, thanks so much that makes me feel a lot better

  • Do it! My first ablation was for flutter and it worked perfectly.

    It's a different electrical problem and much easier to deal with. A signal goes racing around the tricuspid valve, which is in the right atrium. A line of tissue is ablated that stops the signal. This means only one access point (femoral vein?), no septum puncture, and lighter anesthesia.

  • I am blessed with both flutter and AF and I am having an ablation under GA on Monday. How long do people stay off work and how long after the procedure is the follow up. I have been told that I have to take rivaoxyban

  • Tablet playing up. Have to take for 4 weeks afterwards.

  • Query that because my EP said an absolute minimum of 3 months afterwards and that was if I insisted in coming off Anticoagulation.

    Don't know whether you are in persistent AF or have paroxsymal.

    I was in persistent AF, had an ablation, cardioverted into NSR immediately afterwards but then went back into persistent AF less than 72 hours later. I had been made redundant so situation was different but but would have been off at least 6 weeks, probably more.

    However a big thing is the type of work you do, how many hours and how much travelling time. That all plays a part as well as any other comorbidities

  • PS. I have decided that I am not coming off Anticoagulation even if my second ablation is successful because I perceive the risk of a stroke is there and many EPs believe that once you have been in AF the risk is there and higher than a normal person, albeit possibly reduced. Also you don't know when you might slip back into AF and you might not realise that you are having AF incidents as they can be asymptomatic at any time (day or night) or minimalistically symptomatic in your sleep.

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