Ablation No2 15th May

[Quest4NSR]

Hi all,I'm having my 2nd ablation in Nuffield St Barts in London with Professor Schilling Wed 15th May for breakthrough Afib. Will also be having EP study combined. I had a spate of VT picked up on my Wellue device and I only had it when I was on Propafenone, stopped that and straight back on the Amioderone. Flecianide and Propafenone really excite my ventricles for some reaaon so hoping to find out why. (both drugs were my saviour in the past). Also SVT markers always pop up on my Wellue, hoping he finds a concealed accessory pathway as I had the machine gun heart in my mid teens.

[Paige70]

I hope all goes well, you are in good hands.

Let us know how you get on.

Best wishes.

[TootingBelle in reply to Paige70]

I've heard good things about Prof. Schilling. Can I ask, did you decided to go private or is this Nuffield unit working with the NHS?

[Quest4NSR in reply to TootingBelle]

Thanks, I decided to go private as I have Private Health Insurance . Nuffield its a tag on building and was an old derelict site and only atound 2 yeats old so very new equipment and modern. Its totally independent of the St Barts NHS bit of course the best docs from St barts will do a lot of private from Nuffield as logistically it's much easier and a short walk from the NHS Barts to Nuffield Barts

[CDreamer]

Any substance which cures also causes. All the drugs mentioned are known to cause arrythmias so you are not that unusual, I had to stop Flecainide because of wide QRS.

Hope all goes well & speedy recovery.

[Quest4NSR in reply to CDreamer]

That me too wide QRS on Flec

[RichMert]

All the symptoms you describe are similar to those I suffered before second ablation. Amiodarone worked for me but you do not want to be on it for long. Flecanide seemed to work but by 6pm each day I felt as if I had chronic indigestion and strange chest feelings. Hope all goes well with 2nd ablation... I am 85% fixed, just get bouts of Ectopics and rare 6 second episodes of flutter.

[Ppiman]

The Wellue that I use showed VT recently, but my specialist says it is wrong and caused by their AI being unable to "read" the ECG because of my wide QRS from an intermittent left bundle branch block (LBBB). I have read here of someone's Kardia doing similar. When I used a Kardia it regularly failed to determine my rhythm calling it NSR with wide QRS, despite masses of ectopic beats being present.

Was your VT also confirmed by a 12-lead or Holter?

Steve

[Quest4NSR in reply to Ppiman]

nothing on 12 - interesting, did yours look like this?

reading

[Ppiman in reply to Quest4NSR]

I didn't keep it as I took the specialist's word for it as I didn't want to get any more anxious over it than I already was (worry is my middle name). Yours is unusual occurring suddenly amid a stream of NSR beats and you don't seem to show any wide QRS as mine does because of the bundle block. This causes something called aberrant beats, I was told, and these fool the Wellue AI. There's a review of the Wellue AI ECG on the "Sceptical Cardiologist" website that mentions this failing.

What did the doctor say about your trace?

Steve

[Quest4NSR in reply to Ppiman]

He wasn't too concerned as was only a short burst and wasn't anything sustainable which I found put my mind at rest

[Ppiman in reply to Quest4NSR]

In the end, we have to trust our doctors with their knowledge and long experience.

See

[Quest4NSR]

Update

My EP found some very interesting areas, causing my AF in the left Atrium, I had a cuff of tissue firing at will between the Pulmonary Veins and created a set of lesions to sort that.

He then did an EP study and showed retrograde block and decremental AV conduction but even with isoprenaline were never able to show any evidence of AVNRT.

With aggressive burst pacing he was able to induce an atrial tachycardia which mapped to the RA isthmus before it degenerated to AF for a short time and then terminated.

He then performed a RA isthmus line and confirmed block after a waiting period.

Also had loads of signals from the SVC so he isolated those signals too with lesions. All the veins looked to have been isolated from the 1st ablation I believe, no mention of any touch ups on the existing lesions or reconnect but will confirm. Good job, Prof Richard Schilling rocks

[jeanjeannie50 in reply to Quest4NSR]

Please to hear that all went well for you. Keep in touch and let us know how you progress please.

Jean

[TootingBelle]

I've heard good things about Prof. Schilling. Can I ask, did you decided to go private or is this Nuffield unit working with the NHS?