is my paf coming back

[7164]

I had my 1st and only cryoablatio 30 months ago and following the usual few months of ectopic beats off all meds and good nsr😊

The last few weeks after eating I seem to be getting more of what I believe are ectopic beats and bp spikes. I doesn’t last long but now more frequent.

Last evening after dinner I had a few bumps and my bp spiked. I relaxed and got it under control .

Even after a hit cup of tea I seem to be getting a few bumps.

I think it’s vagal problems.

The questions are could the paf be coming back ? Do we all get bp spikes if it is ectopic beats? Or is it the paf coming back? Don’t want to bother the EP

Thanks

Rod

[Autumn_Leaves]

Please do bother your EP. It’s better to have any kind of deteriorating symptoms investigated. You may need a 24h ECG to get a clear idea of what’s going on.

[Hidden]

Cryoablation’s are very often carried out because the procedure tends to be quicker than an RF (heat based procedure) ablation, they are marginally less risky and can be very successful for treating the 4 pulmonary veins. This is provided the tissue is quite regular which enables the expanding balloon to freeze the areas which are the main cause the rogue impulses which cause AF. What the medics often don’t tell you is that a second RF Ablation may be needed to treat the missed bits! I know, because a needed a second about 2 years after my Cryoablation. Of course there may well be vagal issues but if I were you, I would certainly be talking to my EP …..

[7164 in reply to Hidden]

thank you

To be fair he did tell me.

It has been 30 months since I had it and was more than happy

Now I have this weird mecopics without a high heart rate ,bp going from 150/80 to 130/6o in a matter of minutes. Really bad indigestion discomfort and burping gas ?? What is going on ?

[kalgs]

My suggestion is don’t jump to conclusions and keep an open mind. I had an ablation 15 months ago and start to get a few ectopics due to a cold .They disappeared after a few weeks.

I do get annoyed when I read on this forum an inevitability that after a cryoablation AF will always return. That is not the case and it can be a long-term solution for many patients. Lots of cardiologist will say the same. Remember there are lots of users of this forum who leave once the AF has been dealt with.

If continue, consult your medical people that my advice. Do you have a Kardia device or an Apple Watch. It would be extremely useful to use when you are getting ectopics.

[7164 in reply to kalgs]

Thank you for your comments.

I am grateful for the EP who changed my life.

Do other people get the bp surges when they get ectopics ?

[kalgs in reply to 7164]

It’s difficult with blood pressure. Unless you are really expert then you may not be getting a true reading. Certainly when you’re suffering from anxiety your blood pressure will no doubt increase. Also blood pressure monitors give an accurate reading when you are suffering from any form of ectopic. So the blood pressure readings are most likely inaccurate. Are you taking the blood pressure readings on a regular basis in the proper manner.

No coffee or alcohol or exercise 15 minutes before taking the BP measurement. Sit quietly for 10 minutes. Take the first reading. Sit quietly for another minute. Take a second reading. Sit quietly for another minute and take a third reading. The cough should be level with your heart your feet should be flat on the ground. Do not talk or move. Discard the first reading and look at the 2nd to readings. Most electronic monitors will average the three readings, but they failed to discard the first. Take these readings at the same time each day and in the same way.

Even when you go to the surgery, most medical staff do them incorrectly. After all, you’ve just walked in, and you were anxious et cetera

[7164 in reply to kalgs]

I certainly was not taking it properly. Just pop the cuff on when I feel the skips and off I go.

Just getting the ectopics after I eat. I have been eating more due to the season and do know meals should be small. I drink no alcohol nor caffeine

[kalgs in reply to 7164]

you really won’t get a correct BP Reading

in that situation.

[Hidden in reply to kalgs]

Hello kalgs, I’m not sure if your comments were regarding my reply to 7164 but I’ve never seen anyone say on this forum that there is an inevitability that AF will return after a Cryoablation. Because 7164, expressed amongst other things, a concern that AF may have returned after a Cryoablation, it seemed reasonable to explain why this might be. Cryoablation’s focus on treating the 4 pulmonary veins which as I understand it, are the main source for rogue impulses to fire off. If the tissue around the entrance the veins is smooth and regular then the results are excellent and the patient is also exposed to less risk and it’s why this procedure is so popular as the first form of ablation treatment.

[kalgs in reply to Hidden]

I make comments and I still believe it’s not inevitable that AF will return purely because it’s a cryoablation that’s been undertaken. I had mine done at Barts and I don’t think they have any reason to not tell the truth. They have told me that lots of people go on long-term, and don’t have a recurrence of AF after a cryoablation .

I was just trying to give him some sensible reassurance. Unless I know otherwise they’re not many medical experts on this site. Once again, I suggest it’s not inevitable. Not much in life is. Can I say I do not want to get into a long drawn out debate on this matter. My intention was to give some sensible meaningful reassurance not to challenge any sensibilities of anyone else on this site

[Hidden in reply to kalgs]

It sounds as though we are in total agreement kalgs, can I wish you an AF free 2023 and beyond

[kalgs in reply to Hidden]

and the same to you and your family. have a good New Year.

[kalgs]

inaccurate I meant to say

[ozziebob in reply to kalgs]

Kalgs,

Just for info purposes, if you realise you've made a mistake in a Reply after posting it, then you can instantly fix the error by selecting the More menu (at the end after Reply, Like, & Report) and then choosing Edit Reply. Then make the change in your text, and rePost. Simples.

Just trying to help.

[kalgs in reply to ozziebob]

Ah . Right I will try and remember don’t want to bring the site down .

[Paul5851]

I had a cryo almost a year ago now and other than ectopics it’s been a success. I’m eternally grateful for that but I’m aware that it could all change in the skip of a beat - pardon the pun! What I have found is that when ive had either a chest/throat infection or cold my heart seems a little quicker at times and I get more ectopics and the odd thud. I had that awful bug a few weeks ago and was like it then. Does anyone know is there a correlation between the long term effects of ablation and reaction to infections etc with the ectopics and so forth?

[kalgs in reply to Paul5851]

My cardiologist, said that with a history of ectopics of one sort or another it’s pretty common to notice palpitations etc when you have an infection. Didn’t say it was anything actually to do with the ablation. I’m not saying that this is the case in your situation just passing on an observation.

When I had a minor infection(cold) a few weeks ago, I did notice palpitation's

[7164 in reply to Paul5851]

I am very grateful as well and up until recently had no ectopics.

I think they are ectopics? Suddenly I feel the skipping thud beats then my np shoots up and my hb increases. Nothing like before when it was 140 plus.

Any thoughts?

[Paul5851 in reply to 7164]

I must admit, and I know this won’t work for everybody, but since the ablation I’ve made a determined effort to ignore Kardia and completely stopped checking my heart etc. I think mentally that has really helped me to push on. I’ll know if/when anything sinister has returned as I think we all would. I decided that I didn’t want to be a hostage to every skip and jump of my heart and to trust that the ablation had done its job.