Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
P S Wish I could be more like Petey who is a wonderfully kind guy & from whom I've learned a lot.
I just looked up a procedure at the Mayo Clinic called CABANA. I think I'd rather have an ablation than a cardio-version, cuz what IF THEY CAN"T RESTART YOUR HEART? JEEZ!
A Cardioversion is used to get you back to NSR. It is a quick fix. It is a shock to your heart that doesn't take long and is no big deal. It is not a quarentee to stay in NSR....but you may stay in NSR indefinately. It is performed on an out patient basis
An ablation is a bigger deal...it is a procedure that can take hours to do, and there is a recovery period. You are an inpatient. It is meant to Keep you in NRS...it may or may not. It is the choice of many who have symptomatic afib or who's afib has gotten worse or other personal reasons.
All of us wish there was a way to control it....each of us has a unique version of afib and a vary in how we treat it and cope.
I hope the Sotolol will convert you soon!!!!
I'm not an expert, but a cardioversion isn't really a "cure'. They just set your heart to beating normal again. You may go right back into afib if that's the stage of afib you are in. I think it's a fairly risk free procedure and there's little risk of your heart not starting back up.
An ablation is an attempt to cure afib (if not permanently at least for a period of time) and involves them running catheters into your heart and scarring up your heart tissue with heat. So there are obviously much more risks involved than getting cardioverted. On top of that, I believe that many people get cardioverted at the end of their ablation anyways if they are in afib when they are done with the procedure. I don't think I did, and I never really asked. i wasn't in afib going into the procedure and I'm not sure if they were able to get me in afib during the procedure. i think they just put scar tissue around the four pulmonary veins. (I haven't had a doctor visit since the procedure so I have a lot of questions I'll be asking.)
As far as other treatments, they will most likely try an antiarrythmia medicine first, which solotol might be so you may already be there. They usually do rate control first (metoprolol), then rythmn control (Rythmol in my case), and if that doesn't work, they go to ablation. i know Anthem won't pay for an ablation if you don't prove via EKG that the antiarrythmia drug didn't work.
You are on Eliquis so that will reduce your stroke risk, so I wouldn't worry too much about being in afib currently.
Have you been managed by a cardiologist or an EP?
If you are still in afib I think you should call your Dr back and tell him you've had enough. Time for some action to get back into NSR...maybe cardioversion. If you haven't seen an EP that would be a good idea too.
I'd been to a string of cardiologists over the years for my afib and SVT, but it wasn't until I found a good EP that I got a real treatment plan.
What is the cardiologists plan? Just let you stay in afib? I think the idea is for the sotalol to help you convert. But did he give you a time frame? I think you should call and push for something further unless there is another plan.
Being permanently in afib is fine if you are feeling fine. Some people like Petey can't tell when they are in afib. If you don't feel good in afib then don't settle for that. Different meds might help how you feel so the afib is more tolerable, especially since your chf meds were changed. Cardioversion may be your next step to get back into NSR and then the sotalol will keep you there hopefully.
Do try to stay calm. As everyone has said, afib isn't fatal. Push your Dr if necessary to find the best way to treat this for you, so you feel the best you can. Please keep us posted. You will get lots of support here. I'm so sorry for the loss of your husband. Hang in there.