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Tachycardia post ablation advice

Annejos profile image
12 Replies

Greetings. I'm an nearing the 3 month mark after my ablation for AF and flutter. I have had some small bouts of AF but they have settled. However 10 days ago my resting heart rate went up to 130. So I am in persistent tachycardia all day since then.

My check up appointment with the cardiologist is in 4 weeks. I feel fine, possibly a little tired from the high HR and the meds but otherwise ok.

Does this sound familiar to anyone ? Thanks

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Annejos profile image
Annejos
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12 Replies
Dawsonmackay profile image
Dawsonmackay

Could you provide more information? For instance, do you work during the day? What kind of work do you do? If you don't formally work, what do you do during the day and night? Do you drink alcohol? etc. etc

Annejos profile image
Annejos in reply toDawsonmackay

Hi Dawson

Thanks for your reply. My HR when I wake up is circa 120- 130, it doesn't change much during the day. My beta blockers bring it down in the morning to 110 and then if I am doing anything, walking around etc - it rises back to 130.

I work during the day, in an office, nothing physical. I walk in the evening time or relax. I have not had alcohol since the ablation which was nearly 3 months ago.

Dawsonmackay profile image
Dawsonmackay in reply toAnnejos

What kind of work do you do? Is it fast paced? Answering phones etc Are you drinking coffee? How many cups? I just want to rule out usual stuff because ten days ago everything changed!

Annejos profile image
Annejos in reply toDawsonmackay

I'm an accountant but my job is not stressful, I have given up coffee also. The day before my rate changed I had a bit of a stressful day and was upset. I didn't notice the rate change till a day later I think. I had 3 bottles of Heineken zero zero over a 6 hour period.

Dawsonmackay profile image
Dawsonmackay in reply toAnnejos

The only thing that I can provide for you is something from own experience. About 4 months ago, I had my third cardiac ablation. Four days later, I did something stupid and took a fifty minute walk and when I returned I was back in Afib. I had been taking magnesium but I stepped up the dosage to twice a day and twenty eight days later, I returned to a normal sinus rhythm. About five days ago, I ate a plateful of organic blue corn chips and five hours later my heart kicked into high gear (140 beats a minute and higher) and remained that way for about four hours. I drank a lot of water during that time but was back in Afib in a flash. I took a dose of magnesium and also 50 mg of metropolol. That helped but still in Afib. 24 hours later, my tachycardia stopped and slowly returned to sinus rhythm. Blue corn chips? Lots of carbs. Carbs is not my friend. Diet related, not organic. How about you? You should keep a diary and rule out diet. Stress and carbs can play a role. Are you taking magnesium?

Annejos profile image
Annejos in reply toDawsonmackay

Thanks Dawson. Yes I keep a diary too it's good for tracking what the culprits might be. Thank you.

BobD profile image
BobDVolunteer

I would suggest that from your rate this is atrial tachycardia not AF. AT is pretty common post ablation and may need cardioverting. I recommend that you ring the arrhythmia nurse contact where you had your ablation and discuss. See your GP and get an ECG done as well which will show exactly what is happening. Dont forget to ask fo copies aaaaf any and all tests for you records so you can show your EP when you see them.

Annejos profile image
Annejos in reply toBobD

Thanks Bob, I am going to go to my GP next week for an ECG. Thanks for the advice.

Nickr282 profile image
Nickr282

I developed persistent AT (Atrial Tachycardia) following my first ablation for persistent AF. My resting heart rate was usually around 120 to 130.

My EP was not overly concerned about this and said it was fairly routine to treat with a follow up ablation.

In the 13 months since the second ablation I have had no episodes of AT or AF (touch wood). Good luck.

Annejos profile image
Annejos in reply toNickr282

Thanks and best of luck to you to stay in NSR 😀

KMRobbo profile image
KMRobbo

I would get an ECG establish what you have then if it is AF get an urgent appointment to get the rate reduced. I did 8 days at 130-190 once and i was knackered after that 8 days. I only got out of the high rate by a flecainide infusion.

That said I did 3 weeks at 140 with a flutter until and ablation stopped it and I was probably no worse, but I wasnt driving going to work either.

Trouble with all this is you are in a strange situation having had the ablation so you have no idea if this will last 10 minutes , 10 hours 10 days or 10 weeks, and so you may as well do something about it.

Annejos profile image
Annejos in reply toKMRobbo

Thanks Robbo. Going to the GP for an ECG after the weekend to find out what to do. Thanks.

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