SVT after ablation

[Elizka]

Hi everyone,

In preparation for my post-ablation 3-mo follow-up with my EP Monday,

I wore a Zio cardiac patch for 6 days two months post-ablation, and the results came in today.

Findings: Predominant underlying rhythm was SR. Average HR of 73, no AFIB ( I had three episodes before ablation), no SVE couplets or triplets, etc.

However, I had seven episodes of supraventricular tachycardia, with one lasting seven beats with a max heart rate of 174. I had the ablation for the AFIB, not SVT. It has been 20 years since I believe I have had tachycardia (I had an episode the day my mom died in 2020 and went to ER) in my, 40's-which was dx as panic attacks (I was running a company, homeschooling, and just doing too much in general) and I was put on anti-anxiety drugs for a couple of years.

Okay, my question:

Has anyone who has had an ablation had supraventricular tachycardia after the ablation? Those who weren't dx with it prior?

[BobD Volunteer]

I had atrial tachycardia after a few of my ablations which were terminated by cardioversion. Eventually had ablation for ATach in 2019.

[Elizka in reply to BobD]

Thanks

[Megams]

~Yes it appears my PVI cryo-ablation Feb 2022 has morphed into bouts of SVT + one episode (that I am aware of) of fast a/fib with overnight in hospital March 2023.

Initially my a/fib stemmed from ASD (hole surgically corrected 1988). My long term steroid use for a/i + few other medical challenges created some of pesky side effects despite needing them to quell inflammation.

Seeing EP next week - not sure where from here as h/r drops low (38 -41) in my sleep but increases during day mostly - this can trigger my SVT especially when on CPAP @ night.

B/p not always stable but can't adjust meds presently.

2nd ablation not recommended due to challenge transeptally with scar tissue formed from suture closure 1988 op.

So I am with you on the same page presently~

[SeanJax]

SVT with 7 beats , everybody has it. And it was just one time. Move on and don’t think about it. If I were you I would be very happy with the results of the ablation. Just keep an eye in the future to have another zio patch in a year or two.

[Elizka in reply to SeanJax]

Thank you, I was going to ask EP for another patch in a year.

[Emgee]

I had PAT for over 40 years, and it first presented while at work standing over my desk,

I had an incident of 200 bpm, and was taken to hospital, where it ended just before being seen by the doctor, who checked me out and told me it was most probably a once in a lifetime occurance, and sent me home.

Well, that was wrong, as I continued having episodes off and on for the next 40 years, which were converted to normal beats with neck massage, or injections. It was recommended I have an ablation to burn off the extra node causing the PAT. However, the last episode that I had to present to ER for was in 2014, and I was told from the readings of the heart monitors, I was now in A.Fib, and was admitted to have an ablation. I had the ablation, which resulted in a Tamponade as somehow my heart was punctured at the top, so I had a long hospital stay and continuous tests to check if my heart was going to stop bleeding. Luckily, it stopped bleeding after weeks and tests showed I was healed. I was released home, with cautions to return to ER should beats go up to 100. After a few runs to ER at all hours in the mornings, things settled down to normal and I was in NSR for 7 years, before A.Fib or Tachycardia struck again. I am now 85 and in NSR and my cardiologist is pleased at my last visit, and gave approval to have my right knee replaced. (I had my left knee done just over a year ago, but knew my right knee was bone on bone and would need surgery also, due to osteo-arthritis. I wrote this to give hope to those with Tachcardia episodes, to say, as frightening as they are, there is hope.