Tachycardia update

[Jajarunner]

I asked about how long I should sit out post ablation tachycardia on Saturday and got lots of very kind replies and many asking for an update.

So I did go to A&E and after three hours was admitted to the A&E ward. HR was 95 but trying to convert back to normal speed. Doc kept me in for observation to check everything.

At bedtime when I laid down it hopped up to 120s. Had ECG where it went back to 95.

At 3am it leapt to 148 and I was in a lot of pain.

Long story short blood pressure was 70/50. Crash Team busy next ward so my ward assembled their own of several nurses, doc, critical care nurse and anaesthetist about eight in total. I was in loads of pain and passing out but they wouldn't let me shut my eyes!!. BP then 53/33! I was sweating profusely. GTN reduced pain but they were all working fast and urgently so I knew I was in trouble. Did think to.myself that I could be on the way out!! It was decided there was not enough time for amiodarone via a central line, something had to be done much more urgently!! So a electric cardioversion at the bedside! Woke myself up when I cried out. HR back to 108. IV amiodarone lowered it to 60s and I was admitted to High Dependency Unit.

Blinking heck! I've had faster HR with afib but never pain like that, lack of oxygen to body I suppose. The HDU team told me "you gave the crash team a scare"!!!!

Seems BP so.low I was going into clinical shock....😱

Now I'm in cardiac ward. HR fine. Back on oral amiodarone after 30 hours of IV.

Feeling exhausted, I'm only four weeks post ablation so there's all that, than a marathon running HR for 29 hours and very little sleep. Ironically the fourth ablation was to get me off amiodarone and I was dead against having it done... Let's hope it's the infamous blanking period.....

Sorry for too long post. Hope it makes some sense.

[dedeottie]

Wow, what a scare you have had! You must be exhausted and just thank goodness that you were in the right place when all hell let loose.

I really hope you can get some sleep no. Rest up and take care.

All the best

Jane x

[Jajarunner in reply to dedeottie]

Thank you, Jane. I'll never moan about my boring life again 😂😂

[CDreamer]

Makes a lot of sense - glad you went to A&E and well monitored. Hope they get to the bottom of what’s happening soon.

[Jajarunner in reply to CDreamer]

Thank you

[JackyMac]

Oh dear. Glad you are better now and being able to write it down and share will make you feel better

I'm hoping for an ablation, but now I'm not so sure!

[Jajarunner in reply to JackyMac]

Sorry I've put you off. I read about a guy the other week who was walk/jogging Parkrun after three weeks so I'm just being difficult 😂

[Cliff_G]

Oh wow, I'm glad you took the decision to go to A&E and that you got seen. Must have been quite a shock. I hope they find what's going on and get you stable again.

[Jajarunner in reply to Cliff_G]

Oh yes! Thank you for your kind words 🙏

[baba]

Sending best wishes

[Jajarunner in reply to baba]

Thank you 🙏

[jeanjeannie50]

Goodness, what a time you've had! Was a reason given for your BP dropping so low? Could it have been lack of fluids that day? I'm guessing your CV was without any form of sedation?

Hope you will pick up swiftly now.

Jean

[Jajarunner in reply to jeanjeannie50]

No, fluids ok. Everything ok. Potassium low normal. It's a (scary) mystery. They said it was afib in the end but no light on why BP went so dangerously low. Luckily they did sedate me,I didn't feel it but I did yelp. I've done the yelping thing a few times before so I must feel something subconsciously 😂😂. Thank you for your message xx

[Responsable in reply to Jajarunner]

In the course that your BP gets so low, your heart has to "almost" stop pumping the blood. Why would it be? One way is that the RPM gets very low, meaning that you should have been bradycardic, what was not the case... The other way is, when you are in tachycardia as you were, that the ejection fraction gets very low, what obviously was the case. Why? It happens only if the heart is in ventricular tachycardia (SVT or VT, both give a very low efficiency of the heart). I know that you have been diagnosed with AF in the end, but the above explanation is the only one that "holds the water".

Wishing you quick recovery!!!

[Jajarunner in reply to Responsable]

It'll be interesting to see what the EP says. They read the ECGs differently from the cardiologists. I've often been told it's afib only for it to be aflutter for example.Thank you for your reply 🤞

[Buffafly]

So sorry, I enjoy a drama but that was too much 😱 Best wishes ❤️‍🩹

[Jajarunner in reply to Buffafly]

I've had drama before. HR dropped to zero after one ablation but only for a few seconds. This was toooo much, for sure . Xx

[pottypete1]

What an awful experience. I hope things settle down soon for you. Sounds like you are in the best place.

I must admit that after my 4th ablation I felt desperate but a change in EP and 3 more ablations have finally given me the best QOL for 30 years.

Keep talking to your doctors and don’t give.

Wishing you a speedy recovery.

Pete

[Jajarunner in reply to pottypete1]

Oh man! You ve had a time of it!! Thank you for the kind message.