Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 06:53PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 07:22PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 07:35PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 08:30PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 08:38PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 10:13PM |
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Carey
Your heart is definitely trigger happy 18 days after an ablation. And yes, it wears off as healing progresses. Stress and physical activity never had any effect on me (I once did a 50 mile bike ride in hilly terrain 3 days after an ablation), but everyone's different.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 10:14PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 20, 2019 11:42PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 02:28PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 03:25PM |
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wolfpack
At 18 days you’re atria are still quite swollen. Anything can cause ectopics. Stress, activity, the weather on Mars. Don’t pay too much attention to it. Just ride out the blanking period and report anything really upsetting to your EP.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 08:35PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 08:55PM |
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wolfpack
Could be cortisol levels. That is very cyclical.
At any rate it isn’t something to worry about for at least another month and only if it’s causing serious discomfort.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 09:19PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 22, 2019 10:19PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 23, 2019 02:32AM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 23, 2019 05:33AM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 23, 2019 02:10PM |
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wolfpack
The salient point is that cortisol levels are cyclical so it stands to reason that cyclical ectopy could be related. Ignore the absolute timing of when minima and maxima should occur and just embrace the cyclical nature. Also realize that cortisol is produced by the adrenal glands and adrenal fatigue may play a role. That is to say chronic stress messes with the glands’ ability to properly produce the stress hormone, cortisol, and may cause adrenaline to be released instead. That’s rocket fuel for the heart. You may want to look into some of the Ayurvedic herbs for adrenal support, such as Holy Basil and Ashwagandha. It’s a stretch for sure, but it does affect some of us.
As always, give it time.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 28, 2019 09:36PM |
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Shannon
Agree with Wolfpack and Carey, don't pay any more attention to ectopics than necessary ... as it's usually not necessary to fret over them at all. Though, for sure, frequent runs of mixed ectopy, especially primarily PVCs, will demand a certain level of attention just cause they can be a big annoyance to say the least. This can be so, even through they are essentially benign in vast majority of cases (100% true when the excess ectopy is limited to PACs) ... unless the person is having consecutive runs of PVCs alone greater than 6 to 7 in a row with no intervening Sinus beat, which will earn the person a full work up for possible VT ( Ventricular Tachy) ... Or if ones runs of PVCs is reaching roughly 20,000 PVCs a day, or more, In which case, that will usually earn the person the option to get a PVC ablation in order to dramatically reduce recurrence of said long runs of PVCs.
Shannon
Re: Are we more susceptible to adrenergic ectopics after ablation? December 28, 2019 10:33PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 12:35AM |
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Carey
The ectopics you're experiencing are most likely PACs, not PVCs, and therefore 100% not dangerous. If you've got a Kardia you can capture an example and post it or email it to me and I'll tell you what they are if you're not sure.
And yes, you're expecting too much too soon. Ectopics can go on for a long time after an ablation and there is no "they'll be gone by ______" date anybody can tell you. Most likely they'll be mostly or entirely gone by the end of the blanking period, but there's no guarantee.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 08:36AM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 05:18PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 06:56PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 07:00PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 07:21PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 08:28PM |
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Pompon
I agree with previous answers. In my case, I'd say Wolfpack has given the true cause of my ectopics : the weather on Mars. Ha ha ha.
When it's vagal, it may come from everywhere, the vagus nerve being incredibly long. Shouting may cause ectopics. Exercising brutally too. Moving right to left or left to right side in bed, eating too much (two slices of bread may be too much, but not always), and so on...
When leaving bed at 6AM, I clearly feel my stomach reflux. I guess my LES is particularly weak when waking and standing up. So, I've to be careful when leaning forward and other quick body moves. I avoid then eating my breakfast at once, as I have to drive my car to go to work. I only eat when I'm there.
Things are then usually quiet in the morning.
Ectopics tend to come back in the afternoon. Cortisol or weather on Jupiter, I don't know.
It may get even worse in the evening and early night when I go to bed.
Early morning hours may be annoying : if I awake around three or so, without quickly getting back to sleep, it's likely I'll have ectopics. But not always. It's likely related to the Moon or a barking dog in the neighbourhood.
I usually have no problems while exercising (reasonably), and for me it's crucial. Ectopics are harmless for a healthy heart, so I do my best to keep my heart healthy.
But I agree : ectopics are annoying. I may have them in organised forms as well as like some sort of chaos (I'll post some tracings if I find some time to do it), and I live with that...
If ectopics were really dangerous, I'd not be still alive to tell.
Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 08:39PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 09:35PM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 10:10PM |
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Pompon
Looks like bigeminal PACs.
Before knowing what they were, I thought I had bradycardia with heavy beats...
Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 11:02PM |
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keeferbdeefer
Here's mine. I had to provide a link. They happen mostly in the afternoon if I exercise a little. Once I sit down and chill, they go away. Heavy exercise in the morning or after 8:00 pm, no problem. I believe these are all atrial. So that's "good".
[ibb.co]
Re: Are we more susceptible to adrenergic ectopics after ablation? December 29, 2019 11:06PM |
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Carey
Here's mine. I had to provide a link. They happen mostly in the afternoon if I exercise a little. Once I sit down and chill, they go away. Heavy exercise in the morning or after 8:00 pm, no problem. I believe these are all atrial. So that's "good".
[ibb.co]
Those are PACs in a trigeminal pattern (every third beat). They're harmless. For most of 2017 I experienced PACs in a bigeminal pattern that would go continuously for weeks at a time, so I know how annoying they can be. That went on for almost 8 months.
The afternoon pattern is interesting. I would suggesting experimenting with your habits. For example, try skipping lunch for a day. Does it still happen? Have a full-size can of low sodium V8 in the early afternoon. Does that help?
Re: Are we more susceptible to adrenergic ectopics after ablation? December 30, 2019 05:01AM |
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keeferbdeefer
Were you a candidate for another ablation Carey, since you were getting so many PACs for so long?
Re: Are we more susceptible to adrenergic ectopics after ablation? December 30, 2019 07:50AM |
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keeferbdeefer
Would another ablation do you any good?
Re: Are we more susceptible to adrenergic ectopics after ablation? January 10, 2020 12:22AM |
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Re: Are we more susceptible to adrenergic ectopics after ablation? January 10, 2020 01:42AM |
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