Diagnosed12 years ago 3 ablations now on 150 flexanide bd prior to this episode was in100ng Bd and 1.25 bisoprolol daily not stopping g break through a bp 122./67 current pulse in Kardia 44bpm unclassified feeling exhausted this was my longest episode past 11 years my episodes were fast 150bpm. Last 6 months changed to longer episodes but under 90 typical 75-85 During episode get breathless in waking and have palpitations under Bart’s. Next steps they suggest either 4 ablation. Or pace and ablate I am 72 years young 😁 any thoughts opinions about choices benefit. Ir disadvantages many thanks Judy
4th ablation or pace and ablate ?? - Atrial Fibrillati...
4th ablation or pace and ablate ??
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I had 7 ablations as I was scared of pace and ablate.
All well and improving.
We are all different discuss with your EP.
Pete
Thanks Pete totally get it about the pace he inv something controlling my heart. I guess I just want to feel. Well enough ! 7 ablations wow ! Hopefully you are feeling your Af is manageable now … yeah I am lucky my ep IS Great was just interested in other people experience. Thanks again for the reply !
I think those are the standard protocol offerings these days, as that is what I have been told. I am on the waiting list for an ablation at Leicester but managing well enough (I suppose) on daily bisoprolol, with the packet of flecainide still sitting in the cupboard!
Steve
Morning Steve thanks for your reply looking at your journey looks like you are awaiting your second ablation hope it is soon and effective !! I found. On even 1.25. Bisoprolol in one dose sent my pulse rate to early 40 nos split the 1.25 and more in the 44 -48 range until our unwelcome guest decides to visit grr . .. if I thought the pace and ablate would resolve the af I would be more enthusiastic about it … have a lovely. Weekend !
I was more than a bit shocked to hear the idea mentioned from the consultant I see (and during a phone consultation, too) as an alternative to an ablation or medication, but I suppose it's a daily thing for them to do?
Thankfully, with fingers crossed, I am coping well enough. My AF comes at a slower rate these days which makes it far more bearable.
I dropped down from 2.5mg bisoprolol as it slowed my heart too far, down to below 40 on occasion, making me weirdly and easily light headed.
Steve
Totally get it about bisoprolol lol. This morning pulse 41 getting myself up. Ready for work was no joke lol now at 44 if only I was an athlete lol re the consultation I can understand the shock hearing that as an option Bit scary thinking g something mechanical operating part of your heart ! Amuses me as patient we get offered clinical choice I want them to tell me what they think is best for me !
I asked that very thing: if you were me, doctor, what would you do? The consultant is a lovely chap, but all he could say was, "I can't answer that question".
At the bottom of it all, it seems to me that it is whether we can cope with the symptoms and what to do if we can't. How these arrhythmias affect our daily life is all and no doctor can know that. The fear many of us must have is that the issues will lead to long term weakening of some kind - and it seems no amount of tests can clearly answer that one, either (until it happens).
Steve
Too true Steve had similar xx variation before last ablation when my consultant registrar suggested choice of ablation or p &a when I asked registrar he said he go ablation as he did not fancy a pacemaker lol we all have our thing! I am going to
Ask if I were your favourite auntie ….😜 the symptoms interfere with my quality of life too much so I know something needs to happen . been with same consultant from the beginning so I do trust him .. I guess I will know more September . Cheers again steve appreciate your time
After 3 ablations and trying all types of meds I had a pace and ablate 2 years ago and have never regretted it, I am 70yrs now.
Thank you so much for your reply that’s so
Encouraging to hear . Has it either greatly reduced or resolved your Af and bradycardia issues ? Hope your weekend going well
I had pace and a late at 78! Two years later still going strong.
Thank you so much for your reply that’s so
Encouraging to hear . Has it either greatly reduced or resolved your Af and bradycardia issues ? Hope your weekend going well
I had pace and ablate 2 years ago, I'm 70 now and was definitely the best choice for me.
Thank you so much for your reply that’s so
Encouraging to hear . Has it either greatly reduced or resolved your Af and bradycardia issues ? Hope your weekend going well
Hi there. Well I'm told that I will still have the AF but I can honestly say that I'm not aware of it at all. It did take a little tweaking to begin with. They set it at 80bpm straight afterwards, to be reduced to 60bpm after 6 weeks. After I'd had the adjustment to 60bpm, I didn't feel as good, got a little breathless after doing things like climbing stairs.
Told the pm clinic and went in for it to be adjusted to 70bp and for me , that did the trick.
After years of AF, it has been bliss to have a steadily beating heart and no medication apart from apixaban .
Well that is encouraging as it’s the symptoms of Af that I want to say goodbye too ti be bit ti get back to exercising without getting out of puff. Feeling fatigued during an episode which lasts weeks and the palpitations and tiredness of bradycardia So if pace and ablate helps resolved most of the symptoms feel more reassured ! Sounds like it’s working well for you after the tweaking. Long may it continue ! Thanks again! Judy
Hi Judy.I don't post a lot about the success for me, for 2 reasons. Firstly because it may not have been as much a success for some and secondly because I don't want to jinx it!.
It was a massive decision for me because it is a final procedure but it was 100% the right one for me and life changing.
Wishing you well in your journey. Sue.
Saw my EP in May given 3 choices, stay on Digoxin and Diltiazem , 4th ablation or Pace and Ablate. Already have the pacemaker. Wanted the decision after a 5 minute appointment. Told him I needed to think about it. So put me on the list for another Ablation if I didn’t want could cancel.
No discussion of pros and cons of all choices.
In the UK felt like he wasn’t interested