Good morning all
Since my 5th ablation in early September, unfortunately I have not gone more than 3 weeks without slipping back into AF. I am on daily 100Mg Flecainide together with 1.25 Bisoprolol and Warfarin. During this period I have managed to revert my heart to NSR with extra Flecainide 3 times but had to be cardioverted once. Not ideal but that's how it is.
For many years I have in most instances managed to return my heart to NSR by taking extra Flecainide. What is always very difficult is to choose the best timing of the PIP extra Flecainide in conjunction with my daily dose.
My last episode of AF was on Saturday. I was walking to St Mary's Stadium to see Southampton v Liverpool around 2:30. It was not good timing particularly as we were in row HH which roughly meant around 70 steps up to the seat. As the game ended in a score of 0:0 I was spared the 'excitement' of goals being scored so on balance kept relatively calm throughout but of course had to walk all the way back to the car (being driven by my son in law luckily). Non of it was easy in a crowd of over 31,000 fans.
I have to say I was suffering very badly with all the usual symptoms together with chest aching and arms aching, shortness of breath, headache and all the other symptoms with which I normally suffer at such times.
I decided that the best course of action was to wait until I got home as I had been thinking recently that to overcome the issue of dose and timing perhaps the best course of action was to wait until the time of my daily dose and to then at that time take an extra 100Mg Flecanide together with my daily does of 100Mg Flecainide and an extra bisoprolol 1.25Mg.
The result.......... within an hour of the taking the extra drugs and relaxing I was back in sinus rhythm - as always 'what a relief!!'
Now this may be a coincidence but my theory is that by waiting to the end of the 12 hours since the last dose and then giving my heart the extra, this perhaps was more effective than taking extra as soon as my heart goes into AF which is my normal course of action.
I would be interested if any other PIP exponents have any thoughts or observations.