I thought I'd share my story as this forum has been a great help to me over recent years. Exactly a year ago I had an ablation for my deteriorating AF and I consider it to be a success. No more episodes. It has given me so much more confidence back in my life.
This was my second ablation. My first was in 2019 for atrial flutter. That ablation was successful too, at curing my atrial flutter, but by 2021 episodes of PAF started to creep into my life. Mainly at night to start with but as time moved on incidents in the day would trigger too. Flecainide was prescribed and it helped to terminate my episodes but it wasn't effective as a prevention. By the summer of 2022 my episodes averaged every couple of weeks so I took the initiative to see an EP privately. I went to the Heart Rhythm Clinic in Southampton, to the care of Dr Paisey. I cant recommend or praise him enough. He is an incredibly calm and reassuring doctor and the contrast with his care compared to the NHS was palpable. On the NHS ablation was not recommended and I was told to just stay on flecainide. Dr Paisey disagreed and suggested ablation was a far better option given my relatively young age of 47 and otherwise good health. He was right. It has been a better option for me.
Having an ablation is daunting, uncomfortable and tiring. A cath lab is quite a scary place but I trusted the skill of the team.
Following my ablation, I took 4 weeks off work and took my time. I didn't push myself to walk or run anywhere. I normally run 5k twice a week. I also ate sensibly, avoided all alcohol and especially avoided stress. Not easy as a Headteacher sometimes! I believe this slow, patient approach was worth it.
There were blips in my recovery. Migraines when returning home and then after 10 weeks episodes of ectopics. These clustered on occasions and I feared the worse but with some flecainide and breathing exercises these passed. I captured these episodes on Kardia and shared them with Dr Paisey. Again he assured me this was normal as the heart scarring heals.
After 3 months my heart settled completely and I have been in sinus only with a very rare single ectopic. I am now back running, sleeping well and even have the occasional beer. Most importantly the AF fear doesnt dominate my life. I know ablation is not a cure and one day AF may return but for now I am getting on with my life and enjoying it.