Well, I,had an ablation on May 10th for Atrial Tachycardia and it was a 'success' in that they ablated the SVT. The downside is that 1) they weren't able to ablate the left sided ectopics, and 2) I have lingering inappropriate sinus tachycardia. So now I am stuck trying different meds again to lower my resting heart rate and also control the ectopics.
On the monitor, the PACs were anywhere from 20-30% daily burden, with a daytime burden ranging from 10%-15%, and a nighttime burden of 30%-50%. The tachycardia was also prominent, with my overall average heart rate at 90, and frequent high rates with minimal exertion. The EP doesn't want me that high for very long as it can certainly cause some Cardiomyopathy.
The doctor is trying a few things to get the rate down, but as before, nothing is really helping with the PACs/bigeminy. This very frustrating. I'm either worn out from the ectopics and tachycardia, or worn out from the meds.
Sometimes it feels like I am spinning in circles.
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MeganMN
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Its been discussed. It is kind of a last resort.... The EP has been optimistic that he could ablate the SVT, He is willing to try again to get the ectopics, but if the Inappropriate Sinus Tach doesn't resolve, I'm not so sure.. I see him in Mid-July for a follow-up. Until then we are just trying to control the rate....
You have a longer history of this than I have, so have struggled for longer. It is so tiring and stressful. You have my sympathies.
I saw my EP last week and am booked for an MRI next week to see if I can start on flecainide. A high ectopic burden is hard going as we both know. Mine has been daily for a while now and seems persistent, with less overnight and is easily exercise induced. I'm trying to halve the bisoprolol to 1.25mg from today just to see if that helps. I was told an ablation would likely help in my case, with a possible second needed so that is booked but it's a long wait in the UK.
Very good. I'll be frank and say I refer Robert Frost, but you run him a close second! You haven't go digoxin on your list. That was the only one that helped slow my fast atrial flutter. And then there's amiodarone, now given in low dose only, that seems relatively safe,
She can be wonderful; but can often be obscure and too open to unlikely interpretation. I suspect she might have a quiet giggle in the quietness of her heavenly room at the interpretations some of her poems are given, knowing them herself to be something other than wonderful!
I have had one dose of Verapamil, and as such, am extremely cautiously optimistic. But this is quite literally the first evening of Normal Sinus Rhythm that I have enjoyed since Mid-December of 2022. It feels amazing...
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