Back in NSR after cardioversion ?perimitral flutter?

[ijan]

Good to be back in NSR.

Not so good; the EP study showed my flutter was atypical and requires a more complex ablation than there was time for on Monday; or, to come home to a very poorly partner who required hospitalization due to an infection.

On the plus side my heart stayed in NSR throughout many hours of waiting in A&E. My partner was admittted reducing my stress level considerably as he kept "flaking out" and I couldn't physically get him to his feet without risk to the wound in my groin.

"Raining and pouring," come to mind!

My flutter coming the left, already PVI ablated (RF 8 years ago, & cryo "touch up" 8 months ago), atrium is complex, and requies mapping, so I'll have to return for a futher procedure if it comes back and ablation seems the best way forward.

I'm taking flecainine alongside bisporolol and rivaroxaban and hoping my heart behaves itself in the run up to a planned knee replacement in early March.

I wanted to get the flutter ablated and "out of the way" before my knee op but, "c'est la vie". At least, I'm in a better position to support my partner; it would have been a struggle if I needed to rest after an ablation.

Clouds always have silver linings!

Has anyone else had an ablation, preferably successful, for left sided flutter?

Cheers all

PS Forgive the cliches

[Hidden]

I had flutter and fib done at the same time.

I believe that flutter ablations are usually more successful than fib?

Anyway, mine has been successful for 22 months

All the best, try and take it easy and your partner is on the mend too

[ijan in reply to Hidden]

Thanks Mikee,

Had transeptal Afib and right flutter done at the same time eight months ago. All was going well ; four weeks ago heart started romping along at a steady 135.

EP says flutter is now originating from the left side which is more complicated to fix.

Hospital think partner had acute gastroenteritis and have asked me to pick him up later. Hopefully he's through the worst!

[Hidden in reply to ijan]

That's a new one on me.

All the best to you both

[ijan in reply to Hidden]

Thanks for your good wishes!

My EP says flutter normally originates on the right side where ablation is relatively simple and has a very high success rate.

Finding it came from the left atria meant there wasn't time, or possibly the correct equipment, to do a much more complex mapped procedure on Monday.

The good news is that I'm still in NSR, albeit, feeling somewhat pole axed by the twice daily flecainde and bisoprolol, The flec gives me headaches and the bisoprol saps my energy.

Good to hear your combined ablation has worked for 22 months- I'm harbouring a secret hope that my recent episode will turn out to be a one off and I'll remain in NSR

[Buffafly]

Sorry about your situation, can't help with the flutter, though I've had flutter ablation don't think it was complicated.

Best wishes to you both 💐 🌈 🌤 Forgive the emojis

[ijan in reply to Buffafly]

Thanks Buffafly,

Partner has improved. Hospital think he had acute viral gastroenteritis. Symptoms made worse by chronic conditions.

[Gowers in reply to ijan]

It must have been such a worry for you having your partner poorly as well as coping with your own recovery. Good though that at least your heart kept normal rythm and you were able to drive. Hope things will improve for you both in the next few days

[ijan in reply to Gowers]

Thanks Gowers.

Panic over! He has been discharged. The consultant thinks he had a gastric virus made more severe by his comorbidities.

Heart still in NSR!

[cuore]

My second ablation on Nov. 20, 2017 was for perimitral atrial flutter (left atria). For it, I had an ethanol infusion of the vein of Marshall. Subsequently, I was on Amiodarone for three months with vacillating arrhythmia - flutter , but when I changed to Flecainide i did manage to stay in sinus rhythm for about five months. I am now back in persistent AF which sometimes has switched to flutter. I am making plans for a third ablation.

Many members on this site have the erroneous belief that atrial flutter can be only in the right atrium. Your post is refreshing as it present flutter can also be in the left atrium.

I wrote a post about ethanol infusion of the vein of Marshall for primitral flutter but got no response.

Good luck on your pending perimitral flutter ablation.

[ijan in reply to cuore]

Thanks for your reply- I read your earlier post last night but didn't reply as I saw it was an old one.

I was hoping my flutter originated in the right atria where ablation has a high success rate and does not require complex mapping. It was disappointing to be told it was atypical but the good news is that the cardioversion worked and, with the help of flecainide and bisoprolol, I'm still in sinus rhythm.

Although right sided flutter is most commonly encountered, my EP didn't suggest that flutter originating in the left atria was unusually rare. I'm hoping to hear from others with a similar experience, as it always helps to be as well informed as possible.

Good luck with your plans for a third ablation. I'm interested to hear what your EP advises.

Please keep us posted.

Best wishes

Jan

[cuore in reply to ijan]

I went to Bordeaux, France for perimitral flutter ablation. My France EP suggests a third ablation. As I live in Canada, my Canadian EP first advised, when I went into persistent, to either live with it or a cardioversion. I chose cardioversion which lasted only five days. Then he gave me a choice of a pacemaker, an ablation, or drug therapy. He steered me towards altering drugs which i am still on ( Diltiazem120 and Flecainide 100 x 2 mg) but which sadly worked for only three intermittent days. Thus, that leaves me only with the choice of another ablation as i do not want to live with AF.

I send you loads of positive energy to remain in sinus rhythm.

[Cookie24 in reply to ijan]

February 2018 PVI ablation for afib

October 2019 complicated procedure for atypical flutter. I have been ok for 2 months taking Propafenone. In December, flutter came back off an on. I was going through a stressful time and also came down with stomach flu with pretty bad diarrhea. Maybe those stressors kicked off flutter. I have been ok past two days.

[ijan in reply to Cookie24]

Hope all went well.....health unlocked notifications stopped arriving in my inbox