Had second ablation with Dr Natale on April 17, 2018. Had extensive work for AFIB and flutter in both left and right atria. Last ablation the Doc worked on "various fractionated potentials" around the coronary sinus area. He said this is a very delicate area and that he can't be as aggressive as he would like to be so if any arrhythmia resurfaces it would require a touch up. (My local EP who coordinates care with Dr Natale said he wouldn't even attempt to go into that area!) Came off meds about 2-3 weeks ago, except for eliquis. The good news is that I've had no significant episodes of either AFIB and flutter. (This is the first time in around 15 years that I've not had to take some type of arrhythmia medication!) However, I do have PACs at varying degrees and at varying times, ie at times I can be in perfect NSR and the next PACs. While I can handle the skipped beat and the extra beat there is one annoying beat I get that is very strong or much stronger then the others. At night it can wake me up and keep me up, so its starting to get debilitating. (I'm wondering if this is from the corornary sinus area.) Curry told me if the PACs get too bad I could take a half dose of atenolol. At this point I'm reluctant to get back into the meds. Also, i'd rather not start a supplement plan (although this maybe in my future). My thinking at this point is to gut this out such that if an arrhythmia is to return than its better for it to return sooner than later (and get a touch up ablation), then to start masking it with meds (atenolol low dose flec), or treating it with supplements. I know there has been much discussion on PACs, but does anyone have any experience where these PACs actually went away over time and how long did it take? Maybe my thinking is clouded! Many thanks. Joe https://www.afibbers.org/forum/read.php?9,163712,163712#msg-163712 Wed, 16 Sep 2026 04:51:19 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,163712,164343#msg-164343 https://www.afibbers.org/forum/read.php?9,163712,164343#msg-164343 rocketritch AFIBBERS FORUM Wed, 15 Aug 2018 22:56:14 +0000 https://www.afibbers.org/forum/read.php?9,163712,163811#msg-163811 https://www.afibbers.org/forum/read.php?9,163712,163811#msg-163811 I've documented those episodes with a portable ECG. A couple of 30 sec recordings is usually enough to see what happens.
Wearing a 24hour holter is often a good way to remember the Murphy's Law.]]> Pompon AFIBBERS FORUM Wed, 25 Jul 2018 19:57:33 +0000 https://www.afibbers.org/forum/read.php?9,163712,163794#msg-163794 https://www.afibbers.org/forum/read.php?9,163712,163794#msg-163794 GaryS AFIBBERS FORUM Wed, 25 Jul 2018 15:06:34 +0000 https://www.afibbers.org/forum/read.php?9,163712,163791#msg-163791 https://www.afibbers.org/forum/read.php?9,163712,163791#msg-163791
I sometimes get a few minutes of what feels like AF but it stops quickly so I assume the ablation is still doing its job.

Gill (Female, pronounced 'Jill', 15 years of nsr since ablation in Bordeaux.)]]> Gill AFIBBERS FORUM Wed, 25 Jul 2018 13:37:47 +0000 https://www.afibbers.org/forum/read.php?9,163712,163781#msg-163781 https://www.afibbers.org/forum/read.php?9,163712,163781#msg-163781 GaryS AFIBBERS FORUM Wed, 25 Jul 2018 01:59:48 +0000 https://www.afibbers.org/forum/read.php?9,163712,163734#msg-163734 https://www.afibbers.org/forum/read.php?9,163712,163734#msg-163734 Josephkroussell AFIBBERS FORUM Sun, 22 Jul 2018 17:31:29 +0000 https://www.afibbers.org/forum/read.php?9,163712,163729#msg-163729 https://www.afibbers.org/forum/read.php?9,163712,163729#msg-163729
Since we all are different, there's no set standard but if your PACs are noticeable to the point where they dominate your thoughts, then it's certainly worth adding in some magnesium. Magnesium helps stabilize the PAC activity by prolonging the time between heart beats... or the refractory period because it's a requisite to be in place so potassium can work. If you don't get enough potassium from your dietary intake, then adding small amounts would be something to consider.
Stress depletes magnesium so if you stress alot about the PACs then consider small doses.

Best to you,
Jackie]]> Jackie AFIBBERS FORUM Sun, 22 Jul 2018 12:44:55 +0000 https://www.afibbers.org/forum/read.php?9,163712,163723#msg-163723 https://www.afibbers.org/forum/read.php?9,163712,163723#msg-163723 AB Page AFIBBERS FORUM Sat, 21 Jul 2018 22:40:10 +0000 https://www.afibbers.org/forum/read.php?9,163712,163722#msg-163722 https://www.afibbers.org/forum/read.php?9,163712,163722#msg-163722
I don’t like taking medication but they were extremely uncomfortable. My solution was supplements - magnesium, potassium and taurine, which dampens them down so that I don’t notice them. This has worked for me for many years.

Gill]]> Gill AFIBBERS FORUM Sat, 21 Jul 2018 21:31:15 +0000 https://www.afibbers.org/forum/read.php?9,163712,163721#msg-163721 https://www.afibbers.org/forum/read.php?9,163712,163721#msg-163721 Josephkroussell AFIBBERS FORUM Sat, 21 Jul 2018 21:14:50 +0000 https://www.afibbers.org/forum/read.php?9,163712,163719#msg-163719 https://www.afibbers.org/forum/read.php?9,163712,163719#msg-163719 1 only is not good enough.]]> vanlith AFIBBERS FORUM Sat, 21 Jul 2018 20:31:06 +0000 https://www.afibbers.org/forum/read.php?9,163712,163716#msg-163716 https://www.afibbers.org/forum/read.php?9,163712,163716#msg-163716 Josephkroussell AFIBBERS FORUM Sat, 21 Jul 2018 20:09:42 +0000 https://www.afibbers.org/forum/read.php?9,163712,163715#msg-163715 https://www.afibbers.org/forum/read.php?9,163712,163715#msg-163715 wolfpack AFIBBERS FORUM Sat, 21 Jul 2018 19:59:12 +0000 https://www.afibbers.org/forum/read.php?9,163712,163712#msg-163712 https://www.afibbers.org/forum/read.php?9,163712,163712#msg-163712 Many thanks.
Joe]]> Josephkroussell AFIBBERS FORUM Sat, 21 Jul 2018 17:48:26 +0000