Supra Ventricular Ectopy

[drdubb]

For the last two to three weeks, I've been having a lot of PACS. Prior to that, I haven't had much of any irregular beats for the last six months. These episodes last for hours, (until my PIP kicks in) and have a high frequency, up to every other beat. I've had two ablations and currently don't take any rhythm meds. I have flecainide as a PIP. I haven't had a serious (more than a few minutes) of AFIB in about 18 months. I've learned that dehydration and steroids are triggers for me. I'm 69 years old and retired.

I have had some stress recently in that my wife has broken her hip and needs more care than usual.

I take 1000mg of magnesium glysenate daily and a prescription potassium.

I'm worried that the PACS are precursors to renewed AFIB.

[jeanjeannie50]

That's a hefty wack of magnesium! I take 80mg a day, but I also eat a lot of mixed nuts alongside two small bananas a day for my potassium.

I'm afraid I know little about PAC's, even though after 3 ablations I'm still in constant AF at 60-90bpm. Hope someone on this forum who can advise you sees your post.

Jean

[Quest4NSR]

This is my life before my first ablation, very high PAC rate then floated into A-Fib, sometimes I wished it would go into an A-Fib attack to give me some peace. Sounds like to me that you've had some of the Pulmonary Veins re-connect and you are getting some breakthrough. You are unlucky to have episodes of PACs with every other beat, most Cardiac devices would class some of that as A-Fib (as mine do). I would seek further medical consultations and if your E.P. did both of your ablations I would ask if they confirmed 'exit block' of the veins and ask if they found any 'potentials' in the heart that could fire anywhere else maybe in the right atrium, like to think they would have mapped you well. Peeps who've had 2 ablations are 'usually' 100% isolated in the pulmonary veins but they may need to start looking at the left atrial appendage and ligament of Marshall as I've read studies that signals are coming from there in troublesome cases post 2 ablations in. Consider a cardiac monitor like a Wellue 24 hr so you can build a case and demonstrate how many PACs you get, when I show my reports to my EP he made a decision on the spot and he said I made it very easy for him to refer me to where I wanted mine done. I'm looking to have a 2nd this year. Good luck and wish you all the best,

[drdubb in reply to Quest4NSR]

thanks for the detailed reply. It was very helpfful