Round Three and Another Failed Attempt Well, Made a trip four hours away to another EP to attempt another ablation for Atrial Tachycardia. Yet again, now a second time, this ridiculously elusive rhythm evaded them and they could not do the ablation . Not sure what options that I have left to me now. Probably will have to take Metoprolol, which allows lots of breakthrough SVT. Basically, I have to just hope the rhythm resolves itself eventually, gets worse so they can fix it, or simmers down enough for the meds to work. Cannot even express how discouraging this is..... https://www.afibbers.org/forum/read.php?9,193585,193585#msg-193585 Sun, 25 Oct 2026 19:03:18 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,193585,193788#msg-193788 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193788#msg-193788 MeganMN AFIBBERS FORUM Sat, 23 Dec 2023 04:08:20 +0000 https://www.afibbers.org/forum/read.php?9,193585,193727#msg-193727 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193727#msg-193727 MeganMN AFIBBERS FORUM Mon, 18 Dec 2023 22:29:05 +0000 https://www.afibbers.org/forum/read.php?9,193585,193682#msg-193682 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193682#msg-193682 MeganMN AFIBBERS FORUM Sun, 17 Dec 2023 02:33:27 +0000 https://www.afibbers.org/forum/read.php?9,193585,193675#msg-193675 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193675#msg-193675 Daisy AFIBBERS FORUM Sat, 16 Dec 2023 22:16:40 +0000 https://www.afibbers.org/forum/read.php?9,193585,193671#msg-193671 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193671#msg-193671 Carey AFIBBERS FORUM Sat, 16 Dec 2023 21:45:44 +0000 https://www.afibbers.org/forum/read.php?9,193585,193669#msg-193669 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193669#msg-193669
Jim]]> mjamesone AFIBBERS FORUM Sat, 16 Dec 2023 21:09:29 +0000 https://www.afibbers.org/forum/read.php?9,193585,193668#msg-193668 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193668#msg-193668 MeganMN AFIBBERS FORUM Sat, 16 Dec 2023 21:04:14 +0000 https://www.afibbers.org/forum/read.php?9,193585,193655#msg-193655 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193655#msg-193655 Carey AFIBBERS FORUM Sat, 16 Dec 2023 16:34:09 +0000 https://www.afibbers.org/forum/read.php?9,193585,193650#msg-193650 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193650#msg-193650 MeganMN AFIBBERS FORUM Sat, 16 Dec 2023 11:24:20 +0000 https://www.afibbers.org/forum/read.php?9,193585,193645#msg-193645 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193645#msg-193645 Poppino AFIBBERS FORUM Fri, 15 Dec 2023 22:49:58 +0000 https://www.afibbers.org/forum/read.php?9,193585,193635#msg-193635 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193635#msg-193635
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MeganMN
The doctor is thinking it is related to the nocturnal increase in vagal tone and nocturnal variations
in potassium/calcium/sodium responses that is the culprit, although there is little consensus in what to do about it

Here is a thought—I have Dysautonomia and saw an automatic specialist for years. Testing showed very high vagal tone. He prescribed Strattera which increases norepinephrine in the synapses and it worked like a charm…but it might keep you awake though I did not “feel” stimulated when taking it. It took several weeks to get used to even the lowest dose though and he titrated it from a tiny dose to finally the standard low-dose.]]> Daisy AFIBBERS FORUM Fri, 15 Dec 2023 17:02:25 +0000 https://www.afibbers.org/forum/read.php?9,193585,193626#msg-193626 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193626#msg-193626
[www.ncbi.nlm.nih.gov]

The doctor is thinking it is related to the nocturnal increase in vagal tone and nocturnal variations in potassium/calcium/sodium responses that is the culprit, although there is little consensus in what to do about it or how to fix it, and also, how to induce it. I need to find someone intrigued enough about it to go after it and try to help me figure it out! Looking at my 14 day Holter results was quite interesting as there was an obvious nocturnal pattern that the doctor could clearly observe. Oh how I wish they could just do the EP study in the late evening!]]> MeganMN AFIBBERS FORUM Fri, 15 Dec 2023 09:47:15 +0000 https://www.afibbers.org/forum/read.php?9,193585,193623#msg-193623 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193623#msg-193623
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MeganMN
It is literally like clockwork every single night, a switch flips on and I zoom into Atrial Tachycardia and every morning it flips off. No matter what I do, don't do, if I sleep or don't, etc...

That's very strange, but it suggests cortisol could be involved. Your cortisol levels drop from morning to evening and then begin rising again at night until they reach a peak in the early morning. So your AT could be tied to higher levels of cortisol. Do you also experience AT episodes following stressful events?]]> Carey AFIBBERS FORUM Fri, 15 Dec 2023 04:50:57 +0000 https://www.afibbers.org/forum/read.php?9,193585,193620#msg-193620 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193620#msg-193620 MeganMN AFIBBERS FORUM Fri, 15 Dec 2023 02:41:51 +0000 https://www.afibbers.org/forum/read.php?9,193585,193619#msg-193619 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193619#msg-193619
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MeganMN
I could certainly look into it. But have to figure out how any other doctor would have better luck inducing?

As George suggested, arrange a virtual consult and just ask them.

Did the docs who did your EP study administer any drugs during the procedure to try to provoke the AT? I know that Natale uses isoproterenol routinely at the end of an afib ablation when he thinks he's got it. It makes the heart very excitable and will provoke lurking arrhythmias he might have missed.]]> Carey AFIBBERS FORUM Fri, 15 Dec 2023 01:43:55 +0000 https://www.afibbers.org/forum/read.php?9,193585,193617#msg-193617 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193617#msg-193617
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MeganMN
You have more options than that. Go see Natale in Austin or Pasquale Santangeli at Cleveland Clinic.

I could certainly look into it. But have to figure out how any other doctor would have better luck inducing? I suppose if someone else was willing to try the procedure at night, that would certainly do the trick. Something to ponder for certain!

A virtual consult to chat about it with one of those two EP's would be warranted, IMO.]]> GeorgeN AFIBBERS FORUM Fri, 15 Dec 2023 01:18:21 +0000 https://www.afibbers.org/forum/read.php?9,193585,193615#msg-193615 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193615#msg-193615
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Carey

It sounds like my future options are to wait it out, see if it improves on its own, or gets worse.

You have more options than that. Go see Natale in Austin or Pasquale Santangeli at Cleveland Clinic.

I could certainly look into it. But have to figure out how any other doctor would have better luck inducing? I suppose if someone else was willing to try the procedure at night, that would certainly do the trick. Something to ponder for certain!]]> MeganMN AFIBBERS FORUM Fri, 15 Dec 2023 01:12:14 +0000 https://www.afibbers.org/forum/read.php?9,193585,193603#msg-193603 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193603#msg-193603
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MeganMN
It sounds like my future options are to wait it out, see if it improves on its own, or gets worse.

You have more options than that. Go see Natale in Austin or Pasquale Santangeli at Cleveland Clinic.]]> Carey AFIBBERS FORUM Thu, 14 Dec 2023 20:05:46 +0000 https://www.afibbers.org/forum/read.php?9,193585,193602#msg-193602 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193602#msg-193602 I also developed AT after two ablations. I have been on dofetilide (after sotalol and multaq were ineffective) which has kept me in sinus for the last seven months.
During a discussion with the EP regarding a 3d ablation, I asked if they would stop the dofetilide some time before the ablation so hopefully I would be in AT at the time of the procedure. They stated they would continue the dofetilide. Hearing your issue of not being able to induce AT makes me want to revisit the response I received.]]> triplea AFIBBERS FORUM Thu, 14 Dec 2023 18:30:16 +0000 https://www.afibbers.org/forum/read.php?9,193585,193596#msg-193596 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193596#msg-193596 MeganMN AFIBBERS FORUM Thu, 14 Dec 2023 03:55:49 +0000 https://www.afibbers.org/forum/read.php?9,193585,193589#msg-193589 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193589#msg-193589 gloaming AFIBBERS FORUM Wed, 13 Dec 2023 07:01:47 +0000 https://www.afibbers.org/forum/read.php?9,193585,193587#msg-193587 Re: Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193587#msg-193587 Carey AFIBBERS FORUM Wed, 13 Dec 2023 06:20:28 +0000 https://www.afibbers.org/forum/read.php?9,193585,193585#msg-193585 Round Three and Another Failed Attempt https://www.afibbers.org/forum/read.php?9,193585,193585#msg-193585 MeganMN AFIBBERS FORUM Wed, 13 Dec 2023 04:58:33 +0000