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Avatar universal

PVC's after ablation

My husband recently went through a cardiac catheter ablation...his 2nd attempt finally produced arrhythmia's in the lab, and the dr was able to ablate 2 locations.  Within 2 hours after the completion of his procedure, the PVC's began...and became very frequent.  Sometimes as close together as every other beat.  This has continued and remained at this frequency and we are now about 31 hours post ablation.  His dr prescribed metoprolol XL, which did nothing to help the situation today, so has changed to Rythmol.  My husband has the misfortune of being able to feel every flutter, PVC, pause,  everything--which we've been told is rare, most people who experience them don't even know they're happening--makes me wonder if many patients have this post-ablation and just do not know it.  I've read that some people after ablations do experience palpitations or PVC's or abnormal rhythms that eventually decrease over a few weeks, that sometimes meds are needed then tapered off and all is well....but I've also read that sometimes these things persist despite a "successful" ablation procedure.  At this point, we're looking for how common is it to experience this?
What time frame can the PVC's persist?  How often is medication needed temporarily then taper?  Can they be occurring because of needing to heal after the ablation?  Are they only occurring because there is an un-ablated area causing disturbance?  Does anyone know a good resource to locate more info on the subject?  (Many places I've searched only comment on the wound site and chest discomfort post-op, not the rhythm after affects).    
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Avatar universal
I haven't been on for awhile....I think post-ablation we just had to take a step back from things and let him heal, and take a mental break from being submerged in arrythmia "shop talk".  I've been reading and reading, and it seems like you have been through a ton with your arrythmia's, etc.

Were you ever on anxiety meds?  If so, did they cause any PVC's?  

My husband is about 5 weeks post-ablation...he's still taking Rhythmol 225 mg twice daily per EP's instruction.  He's supposed to start weaning down to 1, then two weeks later down to 0 to see if it worked.  But since he's still having PVC's he's wondering if he should bother?  Could it be they will eventually still go away unmedicated?

He had the ablation for NSVT, and MANY pvc's, at times was in bigeminy or however you spell that word...every other beat....
His EP felt confident the 2 places they ablated were the source of his NSVT and PVC's....he kept feeling little half-palp's post-procedure, which sounded like a good thing...as it heals it's relearning a new pathway, and it can still try the old one but be unsuccessful.

They're full PVC's, sometimes many in a day, sometimes none.  But there are few days that say 0 on the calendar, so most often they're still there....

Have you experienced this?  Has anyone else or does anyone know of anyone else who it took more than a month post-ablation to get the PVC's to go away?  

Searching for answers....of course the EP reminds him he has a choice...if he can't live with palps we can medicate (which he's doing now but still having them, so we'd up the dosage back to what he was at BEFORE the ablation), do nothing and he deals with how annoying and disruptive they are, or try the ablation again.

Oh, and they're worse in the heat and while he's walking and talking at the same time...any ideas?

Thanks a million
Helpful - 0
Avatar universal
My PVC's became worse after my ablation for SVT back in January.  They were almost constant and worse at night.  I felt them all the time and while unnerving, was able to ignore them for the most part.   I was told to expect this while my heart healed.  After 6 weeks I thought the PVC's would settle down a little but they didn't and some times were worse than others.

It's now been close to 6 months and I can now honestly say that I have finally started to feel better - been two weeks and that's the longest I've gone without a set-back.  I'm now in sinus rhythm more than I'm in arrhythmia.  As strange as it sounds, it feels weird to be feeling normal again.

Does your husband have a follow-up appointment with the EP?  Maybe it would be a good idea for him to discuss what he should expect post-procedure.
Helpful - 0
489725 tn?1280052553
hi
i had a ablation for svt 12mths ago and before that i did not feel any pvcs and while i had the pathway ablated i was left from the night after the ablation with pvcs .i still have them all the time .my cardio thinks i had them before just did not notice them and they started going into runs {svt} i am going for a another study in a few weeks to see if they can ablate again cause i am having runs again.
it can take a while for the heart to settle down and heal after the ablation esp if he was on meds before.i was on a lot of meds before mine and all were stopped straight away and i think it did not help me
i know for me they say the rhythm or electrial side of things is trying to go the route it was going when it went into a svt run and because that area is now blocked partly i get pvcs if that make sence.i find it confusing.i will say after my ablation after a couple of weeks things did settle down and altough i now have the pvcs and sometimes svt run it is not as bad as it was.
give it time
hope that helps
Helpful - 0
21064 tn?1309308733
I had an ablation for PVCs, and six weeks later a Holter showed 6000 PVCs in a 24 hours period.  I was thrilled since prior to that I was having more than 20,000.  Doctor performed a second procedure for an entirely different area in my heart and I only have occasional PVCs now.  However, 6 weeks after the second procedure, I was in bigeminy (PVC every other beat) for about 6 hours.  I remember because it was Christmas Eve : )
Does the cardio think it will settle down?  What was the ablation for?
Helpful - 0
Avatar universal
I had an ablation on 6/10. Yesterday I got an EKG at my cardios office. I had PVCs. I Dr said they were not life threatening. I am on 100 mg metoporlol twice a day and have been for years. I guess I have to live with the PVCs.

Harry
Helpful - 0

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