Still getting used to the aftermath of my Pace and Ablate procedure. (AV node ablation 19/7/22)
I'm still getting a few single ectopics and I've found out that my settings are currently DDD with a min/max rate of 60- 130.....Yesterday I was working and when I came home I was eating my dinner and I absolutely swear I went into AF except I didn't get that fast ventricular rate. I monitored my heart rate and it went up to 130, my max setting, but it wasn't uncomfortable or painful. I wasn't breathless but my heart was flip flopping all over the place for about 15 minutes. However the actual heartbeat on my pulse oximeter was very regular - presumably the pacemaker keeping things steady. I didn't panic, just observed. I totally understand that I will still get AF but not the fast ventricular response but it's not happened since the ablation so I didn't know how it'd feel.
So this morning I phoned the pacemaker clinic and was told that nothing had been detected. I'm totally confused. The girl was slightly tetchy with me and said that they're always busy in clinic and I can't keep phoning for a check and all they can check for is if the leads are working ok and if it's pacing ok. It only detects runs of 6 or more ectopics in a run or if it's pacing 100% . If lower than that then something else is going on. My pacemaker showed absolutely nothing unusual. She said the criteria doesn't check for things that I'm asking and they're just concerned with the wiring and electrics but if it happens again I am to dial in on my home monitor and to contact my doctor.
I've contacted my cardiologist but he's away until Wednesday and his secretary will speak to him and he'll either bring me in for a face to face or for a phone consultation. Sometimes in the NHS, the right people are behind brick walls which seem impenetrable although I did get through today!
I feel fine this morning and I guess I have to take comfort that the procedure seems to have worked but it was a bit freaky.. I only ever had paroxysmal AF and was only getting symptoms if it flipped which didn't follow any pattern or particular trigger.
So that's where I am today! Bit bemused. I feel fine now but I don't really understand what is going on.
I'll try and do a bit of research again. Any thoughts would be gratefully received.
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You run like the bionic man.
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