PIPs ?

[Natty_Knitter]

My partner is is permanent AF at times he is aware of his heart beating very fast. I have heard people on here talking about having a pill in pocket to take at certain times. Which medications are people using for this? He is on the waiting list for a Cardioversion. After waiting 6 months for a second ablation and an 18 day trip to hospital for furosemide treatment they now seem to feel he is unsuitable for a second ablation although we can't see to get to the bottom of why.

[Buzby62]

My understanding is PIP is only if you are Paroxysmal and to take when an episode is triggered and not for persistent or permanent AF. You will get more qualified replies but here is the AFA info sheet on PIP

api.heartrhythmalliance.org...

Best wishes

[Natty_Knitter in reply to Buzby62]

Cheers thanks for that

[Desanthony in reply to Natty_Knitter]

It could be that they have seen that the heart has now remodelled itself and any further treatment would not prove effective - though if he is still awaiting a cardioversion this seems odd. Has he had any scans or tests recently that would show this? Have you checked that he is still on the list for the cardioversion? If the cardioversion works then it is likely that the ablation will also work. Does he have any other problems that might make another ablation unlikely to help. What medication is he on at the moment?

[Natty_Knitter in reply to Desanthony]

He is definitely on list for Cardioversion. The change of position seems to be because having had a Cardioversion in March 2020 and an Ablation in August 2021 he went back into AF in June 2023

[Desanthony in reply to Natty_Knitter]

Don't really understand that. If they believe the ablation won't work then they usually believe the cardioversion wouldn't work so wouldn't go ahead with one. Many people require more than one ablation and go back into AF after having an ablation and are treated with a second and third and sometimes even more ablations. Maybe you should ask for a second opinion? I would definitely chase them up and ask why they have made this decision. It may of course be likely that they are awaiting the outcome of the cardioversion and may then decide whether or not to do the ablation but I don't see why they haven't told you this.

[Natty_Knitter in reply to Desanthony]

Thanks you have reinforced my opinion on this. I have many questions and do indeed intend to get better answers as so far I feel they have been very vague. My partner is trying to get an appointment to discuss all of this however although he was promised a consultation and review within two weeks of leaving hospital (he was discharged on 6/01/24) we are still waiting despite attempts to chase this up.

[Desanthony in reply to Natty_Knitter]

Call his consultant's secretary and ask if she can clarify the matter and also chase up the appointment.

[Natty_Knitter in reply to Desanthony]

Yes he is already on with this

[CDreamer]

Further to Desanthny’s reply - the cardioversion would be a good indicator as to whether or not there would be a reasonable chance of a successful outcome for ablation.