Back in permanent AF: Hi,I have been in... - Atrial Fibrillati...

Atrial Fibrillation Support

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Back in permanent AF

Bigredhear profile image
15 Replies

Hi,I have been in sinus rhythm for 3 years after an ablation at Barts and been feeling fit and healthy.

3 weeks ago I woke up and knew straight away I had gone back in to AF, this has now been confirmed after a couple of ECG's at the hospital.

I feel very symptomatic at the moment with lots of palpitations and light headiness

I have seen a cardiologist who wants to see the results of an echo cardiogram before deciding what to do next

Should I push for another ablation of try and control this with meds?

Has anyone experienced something similar?

Thanks

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Bigredhear profile image
Bigredhear
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15 Replies
BobD profile image
BobDVolunteer

You have had one and presumably remember it was no big deal so why not try again . I had three over four yeasr before my AF was finally stopped in 2008.

Bigredhear profile image
Bigredhear in reply to BobD

Hi,

Good to hear that you are no longer in AF

You're right, it did seem pretty straight forward last time and I think I will push for it again, I suppose it all depends on how strong the heart is as well and the chances of it being a success?

What made you keep persisting with the ablations?

BobD profile image
BobDVolunteer in reply to Bigredhear

I trusted my EP

SamAdmin profile image
SamAdminAdministratorArrhythmia AllianceAF Association

Good morning

Thanks you for your post on the Atrial Fibrillation support forum.

Hopefully some other members will be able to advise you about another ablation, we do know that some people have to go on to have another ablation, it is personal choice whether to change to another medication and would be best to speak to a consultant about this.

We have lots of information on our website about AF if you would like to follow the link below;

heartrhythmalliance.org/afa...

Or if your require any other information/advice please contact us below;

heartrhythmalliance.org/afa...

Kind regards

SamAdmin

Bigredhear profile image
Bigredhear in reply to SamAdmin

thank you,

I will have a read

Buffafly profile image
Buffafly

Just to be very picky, it’s not permanent AF, it’s persistent (over 7 days). Hopefully a cardioversion will put you back in sinus before you think about another ablation.

Bigredhear profile image
Bigredhear in reply to Buffafly

The cardiologist has mentioned another Cardioversion but it only kept me in sinus for about 14 mths last time, the ablation seems like it could be more of a long term solution but i suppose it's all a bit of a gamble anyway

thanks

Buffafly profile image
Buffafly in reply to Bigredhear

14 months is very good, but of course not a treatment. Best not to be in AF too long.

Buzby62 profile image
Buzby62 in reply to Bigredhear

For persistent AF a CV is usually to see if NSR can be achieved before deciding on an ablation. I’m assuming that 14 months was before your ablation and that was used as a good indiction you could achieve and hold NSR and hence making you a good candidate for a successful ablation. I believe an echocardiogram will always be the first step before making a plan, especially if you haven’t had one for a few years, I had a new one prior to proceeding with an ablation and I’d had one the year before.

Hopefully your echo will be good and that could lead to another CV and/or ablation. Hope you don’t have to wait too long.

Best wishes

Bigredhear profile image
Bigredhear in reply to Buzby62

I had an echo on Monday and am now awaiting the results.

Yes last time I had the CV first then the ablation.

The only reason I am doubting the process again is that when I went to A&E a few weeks back after realizing i was back in AF, A doctor who saw me said that multiple procedures shouldn't be the answer (she was not a cardiologist) and it just made me question things.

Ultimately I want to be back in NSR as my heart will suffer if its in AF for too long

Buzby62 profile image
Buzby62 in reply to Bigredhear

I had Cryoablation and was told prior to it that a second RF ablation can be required to touch up. Hopefully it won’t! Multiple procedures are quite common from what I read here. Good luck with the results

Bigredhear profile image
Bigredhear in reply to Buzby62

Thank you

Cavalierrubie profile image
Cavalierrubie

l feel for you. It’s awful when it rears its ugly head again and deflating. I think a second ablation is getting to be the norm. with most. Having to go back on drugs again is not something to look forward to. The ablation was successful before so l would be looking at a repeat. It’s your decision and l am sure with the help of your Cardiologist you will make the correct choice. Hope this hiccup will soon pass and you will be feeling fit and well as you did before.

Bigredhear profile image
Bigredhear in reply to Cavalierrubie

Yes going back into AF is really deflating and it just seems to be dominating my thoughts all the time I'm generally a very positive person and I should probably look at the previous positive outcomes from my treatments.

Thanks for the reply!

Cavalierrubie profile image
Cavalierrubie in reply to Bigredhear

I hope you will soon be feeling more positive. I anbsolutely hate this damn condition. You will be ok.

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