Many of you regulars will know that since my last ablation in 2008 I have been free of AF although I have had some other arrhythmias, mainly ectopics and two periods of atrial tachycardia. I know that I have represented a beacon of hope for many.
Last weekend was rather stressful for a number of reasons I will not bore you with and I admit to not feeling myself although couldn't put my finger on why.
On Monday afternoon I had my usual 1/2 hour sitting outside my wife's smoking room (summer house ) in the sunshine and being wary decided not to have my usual small glass of our delicious English wine so drank a can of 7Up straight from the fridge in the summer house (Got to keep the wine cool !) Ten minutes later I walked back to the workshop to finish a small job and bang! Heart racing dizzy, etc so back into teheoffice and trawl through the desk looking for my kardia. Miracle the battery is still good,. App is different since I changed my phone about two years ago so puzzle over that and eventually get a very ragged trace --possible AF. I bloody know that! Do usual valsalva etc and search for propafanone and pop a 150mg. !/2 hour later pop another and rate comes sdown from 170+ to a steady 120 so atrial tachycardia I think. Skittles that evening was ingeresting but we won outrmatch and I had one of my highest scores probably becauase I didn't care.
Rode it out through Tuesday which went ok and by now taking 150 mg Prop three times a day. and steady at 120 bpm +/- 5. Wednesday morning e mailed my EP in London and phoned GP to get ecg done which we e mailed to London confirmed A Tach . kardia unclassified. EP asks if I want him to ablate it and agree ., wating list four to six months. In the mean time arrhythmia appears to have degenerated to AF but kardia only says possible. Feel pretty bad as you will all know and slightly miffed that after all this time the beast has returned. Knowledge is power but heck it doesn't always help.
Seeing my Bowen man at lunchtime for my back and maybe he can calm the vagus nerve but if not I think hospital may loom.
Now again some may recall that early last year I was AWOL for a couple of weeks and didn't ever say why. That was because what happened to me was so rare that even Prof Camm has never seen it in 50 years despite it being in the text books. When they caradioverted me for A tach back then I went into something called PEA or pulseless electrical activity. In other words the ECG machine shows all is well but the heart muscle is not responding.,so there is no output. It ust have been a real "Oh sh*t " moment for those present but three and a half minutes of rib cracking CPR and direct adrenaline injections brought me back from the brink. The next few weeks were painful and boring as they went through loads of tests trying to find why it happened but my own theory was dehydration. I had been in a hot MAU for 24 hours and nil by mouth for about eight when they took me down for the CV and I was already a bit light headed. You can see therefore that I am now in something of a quandry as my pervious solutionsare not so attractive. I stress that PEA is VERY VERY rare but you do sign for it on your consent form and remember you are in hospital so the best place. I suspect it would be my fate if it happened again but right now I am a little pre-occupied so if I am not my usual helpful self please accept my appologies. Normal service will resume as soon as possible.