Atrial tachycardia

[SuziElley]

I was initially diagnosed with atrial fibrillation. However, when I went for an ablation and was seen by the EP he decided it wasn’t AF but atrial tachycardia. Apparently symptom are almost adenoidal and I’m on similar meds to all those with AF My problem is, there doesn’t seem to be anyone else here with the same issue. I do apparently have multifocal ventricular ectopics which from time to time do give unsettling symptoms for which I take Flecainide. I’m on Diltiazem for the atrial tachycardia and of course Apixaban.

Is there anyone else here in a similar situation? I’ve had a look on the AF Patients day agenda for both AF and Arrhythmias, but nowhere can I find Atrial Tachycardia.

[BobD Volunteer]

HI SuziElly. welcome to the club.

I was first diagnosed with Atrial Fibrillation in 2004 and between then and 2008 had three ablations which stopped my AF.

In around 2015 I had an event diagnosed as atrial tachycardia which was corrected by cardioversion (DCCV). Again in 2016 this happened. In early 2017 a third event (typically HR of 140 but stable) occurred and unforunately I think due to de hydration (I had been nil by mouth for 14 hours) the DCCV stopped my heart needing CPR etc and slight panic by hospital staff. Obviously I'm not writing this from the other side by the way.

In 2019 I had an ablaation for A Tach during which my EP found four sites at work which he ablated but in recoervy I went back into a mixture of AT and AF whcih was corrected by drugs. I am now on a maintenance dose of propafanone and a small dose of nebivolol and my averag HR is around mid eighties. The AF never returned.

I am in regular contact with my EP but for now this seems to be the status quo.

Not sure that helps but you are not alone.

[Cookie24 in reply to BobD]

Bob, wha dose of Propafenone (sustained release) do you take?

[BobD Volunteer in reply to Cookie24]

That's classified! Lol 😁 The lowest I can get away with is the simple answer as I tend to do my own thing (with the support of my EP .) Please note that my AF was terminated in 2008 and the drugs are for A tach.

[Cookie24 in reply to BobD]

Got it. My EP sort of lets me decide what dose to take . Trying to titrate down and not be on max dose. He says a lower dose will give me room. This is after two ablations.

[Buffafly]

I was admitted to hospital with chest pain and diagnosis of AF but the cardiologist’s comment on discharge was that he thought he saw AT on the ECG. I’ve had ablation for AF and AFlutter and have also had a few episodes of frequent ectopics or bigeminy (ectopics in a pattern) so I think once your electrics are messed up you can expect almost any kind of arrhythmia 😕

[Jalia]

I had Atrial tachycardia for about 18 months almost continually , circa 120bpm , until a pretty comprehensive ablation 2 months ago. So far so good ! I was also having bouts of persistent AF which were dealt with at the same time.

Not quite the same as you but thought I would mention as this can be dealt with.

[Shcldavies]

Hi, Yes I went for an Afl ablation, turned out to be Multifocal Atrial Tachycardia (MAT), you can read my posts from Dec 2019, posts earlier than that were more to do with diagnosis. Funnily Flecainide cause my MAT to give me bad Afl. Just shows we are all different. Now on just 1.25 Biscoprolol with only rare tach breaking through for short periods when stressed. Apparently they cannot always ablate all the MAT and plan to control it with medication which seems fine so far but expecting I will have to increase meds at some point. Happy to answer any questions if I can.

[Kaz747]

I was originally diagnosed with SVT, them Multifocal Atrial Tachycardia, then Atrial Flutter, then Atrial Fibrillation. I had. Seven day monitor at one stage and I asked my EP what showed up and he said it was more a case of what didn't 😂.