Anyone else 6 months + post ablation still have a high resting HR? I would be interested to hear from you.
But apart from that I am cautiously pleased at having had an ablation and wish I had done it sooner! Fingers crossed that I get a long respite from Afib 🤞
I hope you all have a good or even better 2023!
Take care
X
it is normal the high heart rate even 6 months after the ablation. It is well known fact. Parasympathetic cardiac fibers were burned during the ablation along the cardiac cells. A small dose of beta blockers is suggested if you want it lower. For the echo, it is subjective depending on the angle of the probe and the technician so don’t focus too much on it. Get another one in a year with another technician and we go from there. Without episodes of Afib your atrium will reduce in size.
Instead of focusing on it, start preventing the progression of Afib disease by controlling all risks factors: high blood pressure, diabetes, dyslipidemia, overweight, stress, sleep apnea, thyroid issues, lack of physics activities, smoking, alcohol and coffee.
Walking and good diet are the keys. No processed food, low carbs and low sodium diet are the keys for stopping the progression. Walking 150 minutes a week helps tremendously too. A little bit of strength training since we lose muscles as we age is not a bad idea. Focus on the muscles of the legs to avoid falling.
Afib disease is a progressive one. Keep all risks factors under control and you will stay very vigorous for long time. CVD and Afib diseases share the same risks factors. One stone two birds.
I got PFA 19 months ago and my heart rate just went back to normal a month ago. Each individual is different. We cannot compare apples to oranges. It depends on the extensive of the ablation procedures, underlying disease, association of other comorbidities, the healing process, age, and if it is permanent or paroxysmal, so on and so forth. As I said if the heart rate bothers you a smaller dosage of beta blockers is suggested.
Please don’t focus too much on the heart rate focus on the prevention and enjoy your life as long as it permits.
Same here. Had my 12 month review after PVI at Barts this month. My resting heart rate is sometimes in the high 80s. Its a bit variable but at times Im very aware of it being faster than pre procedure. Im particularly aware of it at night and first thing. Im reasonably fit and active with normal BMI and bp.
The good news is they told me its not a sign that the AF will return. Just a thing to live with and hope it improves. They said I could ignore or take a small dose of beta blocker - entirely up to me.
Good to hear things can continue to improve after a year.
In the grand scheme of things Ive had no Af for 11 months and am on no meds so Im happy.
Hi MabelThanks for your reply. I wonder if it is because we take beta- blockers for so long and forget what our original HR was . When we come off all meds I think it's a bit of a suprise for the old ticker 🙂.
Don't worry I'm not focused on it just interested as it was my first ablation. Have you ever had an ablation?
I got Pulse field ablation which Professeur Jais does for a living. It was 19 months ago in the States and it went well. I am still in NSR.
I thought Pulse field was only done in trials in the USA?
For all who are interested in PFA, I did not get any side effects whatsoever post ablation except for the bruise in the groin. It was done as trial. And I finished my trial after a year, all went well after 19 months. The technique is marvelous BUT the key here is it was done by a world renowned ep, Dr. Natale. The counterpart of professor Jais in US. One anecdote of his skill set. I got 7 days Holter after 12 months milestone post ablation, and I only got 62 pacs for the whole week. and that was it. Nada, nothing else, NSR.
Long may it last 🤞
Good to hear your pulsed field ablation has kept you in NSR 19 months on 😀 - I had a PF Ablation last September in the UK and all good so far in terms of sinus rhythm-I have had some spells of palpitations-but these haven’t been particularly bad
I had an appointment for an ablation but got scared and didn’t go through with it. I am overweight so think I should concentrate on getting my weight down first and see if that helps. I have one episode a week which does last about 24-36 hours. I am still not sure about having an ablation. Glad those who have had one have had good results
it depends on how long you are overweight and how long you have your episodes of Afib and what is your BMI. Loosing weight is one of the most difficult task to accomplish since it requires a daily and strict discipline since eating is one of human pleasures as well as drinking and for some people smoking. It took me 2 years to lose 30 lbs ten years back and I kept it since then.
If you have a high BMI and or high blood pressure and or diabetes, you might consider bypass gastric. In the mean time try a low carbs and low sodium diet and no processed food . It is easy said than done and expensive too since vegetables and fruits are expensive. It’s is what I eat daily. I am used to it now so it does not bother me at all. Look from outside it is boring my food, just vegetables, legumes, fruits, fish and chicken.
It takes time to lose weight and can your Afib heart can wait or not? So gastric bypass might be an option to consider.
Anyway once you have an ablation, keeping a healthy BMI is one of the conditions to avoid the progression of the disease. People forgot all the time what leads them to Afib, we ill treated our heart for so long and our heart revolts and we are surprised.
To keep an ablation successful we need to stop the Afib from progressing and the keys are to control and manage all risks factors I mentioned above.
hi, I had an ablation 13 months ago. I have not returned to my old RHR, but the Dr said it's not unusual and might not return to it previous RHR.
Thanks for replying. I'm not bothered by it but out of interest I thought Iwould find out what other peoples' experiences were .
Low heart rate after ablation 
High Heart rate and Heart ablation
Heart Rate after ablation. 
