Hi all, this is my first posting having lurked for a few months. Now I could do with some help and support. I am a fit 67 year old male who has had exertional paroxysmal AF(ib) for 3 years, that had been reducing in frequency and duration over the last 4 months (down to once per week for 4 hours average) due to giving up alcohol and caffeine etc.
I underwent a RF PVI ablation procedure under GA 18 days ago. Recovery started well with NSR and occasional ectopics (I continued to measure EC(K)G at home using Alivecor Kardia). Then 10 days ago, one week after ablation, having raised my HR to about 90, AF kicked in hard again and I have been in continuous AF with tachycardia since then. EPs won't do a cardioversion yet because of cardiac inflammation following the ablation. So if anyone can help with my questions, I would be really grateful.
While I understand that ectopics and some AF are likely after ablation, is my experience normal?
What implications does this experience have for the success of the ablation? Can this be judged at all yet or only on 3 month follow-up?
What is the likelihood that this persistent AF will abate? And if so. over what time scale?
What might I reasonably ask of the EPs at the hospital?
I am on meds of Flecainide 50mg twice a day, Apixaban 5mg twice a day, Bisoprolol 2.5mg once a day and Rampril 5mg once a day. I have increased both Bisoprolol and Flecainide on occasion to control blood pressure and (unsuccessfully) arrhythmia.
Sorry for such a long and detailed ask. I will understand if there are no complete answers but I would love to hear from anyone with similar experience or expert knowledge. Thanks, Peter