Two years since ablation

It is now the second anniversary of my ablation: a Mini-maze procedure including a Left Atrial Appendage closure.  I also had a further RF ablation six months after this, which was always planned and completed the Maze lesion set.  Apart from a few dodgy Kardia readings, I have been AF-free since the Mini-maze and drug-free since November 2017.

Immediately after the Mini-maze, I was unsure whether it had been a good idea, my heart rate was still erratic and I felt like I’d been hit by a truck.  It settled down quickly and although I had a few ectopics and a few “Possible AF “ Kardia readings, I had no symptoms and my recovery seemed good.

The hybrid ablation seems to be gaining ground, particularly for treatments of Persistent AF; a meta-study edited by Katriina Aalto-Setala https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752005/ shows a success rate in cases of Long Standing Persistent AF  of 69% for single-stage treatments and 78% for the two-stage version I had.  (Success was defined as no episode of atrial fibrillation or atrial tachycardia lasting longer than 30 seconds without administration of antiarrhythmic drugs within the follow up period, which was at least a year, depending on study).  The success rate for PVI ablation was given as 70%, but only in the case of paroxysmal AF.  It was stated that it is much less effective in cases of longstanding persistent AF, but figures were not given.

It took me a while to get back to proper exercise (the probable cause in the first place) although this was deliberate rather than my inability.  I have lost a little fitness but hope to regain this during the year.  Prior to my AF, my resting heart rate was 57.  The beta blockers and ablations played havoc with it over the last couple of years.  The graph below shows my heart rate on a daily basis over the last few years.  This is not resting heart rate, but a regular reading taken in the evening when relaxing.  My actual resting heart rate is currently plateaued at 67, ten higher than before my treatment.

19-04-11 Resting HR

One thought on “Two years since ablation

  1. I am a member of this A Fib community, and don’t post very often. But I do read everything religiously. I saw my cardiologist this morning, and I’m doing well. My most recent 30 day monitor did not show any a fib, just some PACs and PVCs.

    I am 69 years old and am on a beta blocker and Eliquis. He recommended continuing with what we are doing. But he also did offer me the watchmen procedure. I have read very little about that and plan to do some research the next couple weeks. But I wanted to request input and feedback from anybody who has had this procedure or who has also done research and has information about it.

    The cardiologist said this procedure would enable me to get off the blood thinner. And that it would lower the chance of stroke to about where I am now with Eliquis.

    Thank you so much!

    Nora in Florida Golden Eli Service Dog Age 3 1/2 years

    Golden Angel Molly 15 yrs 8 mos 1 Sept 2002 – 20 Apr 2018 THDX,CGCA,CGCU,TKA,Delta Pet Partner,R.E.A.D.

    Sent from my iPad 9.7

    >

    Like

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