Update

[GordonS]

Saw my EP on Monday 7 weeks after Cryoablation. I have recovered well from the complications and even managed a couple of cycle rides. I was a little silly on my Sunday group ride where I contested the final Sprint after 40 miles. HR hit 172 and didn't go below 150 all afternoon and even at about 90 the following morning. The EP is encouraging me to continue cycling but to keep the HR below 150. Lesson learned and I have to accept that my competitive days are to be no more. I know it is early days but my recovery is going really well and apart from the above (self inflicted) and a few short episodes of SVT my heart is so quiet. I am to see the EP again in 4 months to review medication then. I am considering changing my anticoagulant from Warfarin to Apixiban on the EP's recommendation because I struggle keeping a stable INR level and I will probably have to take it lifelong. Much as Dave the Gatekeeper said I will hang around and give my tuppence worth as and when. Thanks everyone for your support and guidance, much appreciated.

[BobD Volunteer]

Good news apart from your blip but at least you have accepted that you need to listen to your body. Long may your improvement continue Gordon. Still quite early days of course.

[djbgatekeeper]

Keep up the good work 👍

[Gincalpe]

Pleased it has been successful for you. Useful advice about exercise level while the heart heals after the ablation.

Apixaban is so easy to take - twice a day and no regular blood tests.

[jondeanp in reply to Gincalpe]

On my first occurrence of AF i was on warfarin. I was ok on it, but regular blood tests was a pain.

When AF reappeared i asked to go on one of the NOAC's (i think they have a different name now). I was prescribed Rivoroxaban, which again i had no issues with.

After my ablation in February, i have made a (so far) successful return to running and exercise in general. Fortunately i've been able to come off all meds

[gedbo]

Hi Gordon

I also have struggled with maintaining a stable INR level . I did change to apixoban from warfarin and though it a good move initially . I advocate thinking through the risks with any treatment and doing your assessment based on your lifestyle and long term issues . I also enjoy cycling but class it as having elements of high risk and rarely ride on the road . I have been hit by cars 3 times in my life , all of which were driver errors . Bear in mind that unlike warfarin there is no antidote for apixoban so if you sustain an injury that leads to bleeding it will not be controllable .

Ged

[GordonS]

My EP said that there was now an antidote for Apixiban. I need to make sure about that. Also it is better than Warfarin for inter-cranial bleeding. I went on Warfarin originally because of the same reasons you point out.