I had an ablation 2020 and things seemed to be going well until the last few months.
They had to stop the ablation due to being very close to my AV node and said there was a risk of a pacemaker. However they said they were happy with the way the ablation went and called it a success.
I was taken off meds .
Due to having a run of SVT and ending in A&E I was sent to see a cardiologist.
He said that I had 3 options. 1 do nothing and live with it but have some life changes 2. back on meds or 3 an ablation however he said that he would not recommend this due to the risk of a pacemaker.
I really don't want to go back in meds if I can help it as I felt tired on them
I have put in a lot of weight since retiring from the Police and my main SVT trigger is food.
Has anyone had any success with improving SVT by diet and weight loss.
Thanks
Chris
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chris45558
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The fourth option is to wait it out and hopefully the troublesome pathway will burn out by itself. That's what I was told probably happened with my two year run of SVT. Now I'm just left with afib and aflutter
As to ablation, I would speak to a couple ep's and get their risk assessment. Try and find someone who does catheter cryoablation (as opposed to rf) which will minimize damage to the AV node which would result in a pacemaker.
An SVT ablation is a relatively minor procedure compared to an afib ablation with around a 95% success rate but you do want to find out the risks.
And yes, losing weight and watching diet should help some and it's a great start.
As to medications, my SVT broke through both beta blockers and calcium channel blockers, so I stopped taking them. YMMV, however, you might ask about an anti-arrhythmic like flecainide which may work, assuming you medically qualify.
Unfortunately-- and this is a little above my pay grade -- my understanding is that in order for the pathway to burn out, it has to be frequently activated, i.e. many SVT episodes. I'm guessing I had over 100 short (30 seconds to six minutes) when I had them. So it's a bit of a Catch 22 here. Anyway, diet and losing weight is always a good approach and then take it from there re the other options.
Chris, I had to limit or eliminate all my triggers as they were identified. My "normal life" from two years ago to today are night and day different. I still have vices, and I still cheat a bit, but the main culprits for triggering issues are no longer part of my daily routine. The main one I miss is carbonated, cold, sugary drinks. (I lost 30 pounds by giving them up and trading for tepid water!) I am not an expert, but I noticed the difference with the lifestyle changes I made. I still have a couple more things to work on but noticed the weight loss had a tremendous effect on the bouts of issues with my heart being "stupid" LOLBest of luck!
Absolutely had success with food elimination. No more gluten/wheat for me. Also nothing with aspartame or sucralose. Too much alcohol can bother it too but I don’t drink much anymore and no alcohol containing wheat for sure. Gluten free beer for me or other wheat free options. Mine is controlled without meds just by staying clear of these ingredients. I, too have put on the Covid 15 weight but it has not affected my heart.
My flutter is back 2 1/2 years after ablation. My EP said almost the same. Treat conservatively live with it, try Tikosyn, or repeat ablation. I am already on Propafenone and Diltiazem. He thinks the Propafenone stopped working. I am going for repeat ablation. He also said you are too young for a pacemaker. I am 66.
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