Hi All,
I had a catheter Rf and balloon PVI ablation, both atria, in 2022 and have been pretty much afib free ever since. That said, I have been having PACs immediately after the ablation sometimes going up to 10% for a day or two. I was almost ectopics free for the last 4 months ( my personal record) , however.
For the last 3 days, I have nausea and burning throat/esophagus, and i have an ectopic beat after every 3-4 normal beats, almost 20-25% ectopics in total. And it never stops, making me feel as if my heart remodeled to smth and this is the new norm. I have the feeling that smth in my upper gi is triggering this new event but this is just a speculation. I have some headache and wake up with beats. I do not have a major GI issue other than duodenitis, which is way down. And I take omeprazole for that.
Before, I was given Flecainide as PiP for PACs, tried a few times, sometimes worked sometimes did not. On this curent occasion , i used Flec 2X 100mg for 2 days but it is not working and I still have this much ectopics.
Will try to consult w my EP but I was wondering what y’all think ?
Why so sudden after 4 months of silence and why this much?
And why the burning ? Is it the ectopics causing the burn or vice versa?
Note: My EP previously suggested a second ablation to relieve the PAC burden and that’s what I will follow in the long term, but I really need some ideas on the current episode.
It is always relieving to hear from this group. Thx.