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Re: 3 week post PVA

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> Thor: Hi, this is Trevor from Houston. I had a PVA

> three weeks ago at the CC with Dr. Natale.

Trevor,

I would try talking to your local cardiologist and perhaps he or she

can get thru to Dr. Natale. It is not unusual for a second ablation

to have to be done, and I am wondering if that is what is the case

here or if it is just the normal calming down period. I don't know

what the guidelines are for telling the difference. Did they say

anything concrete to you at the time?

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Hi Trevor:

Yes, I have been NSR since the PVA with the exception of the PVA's for 30

minutes or so last week. I was reminded by , who is having a PVA Friday

(Dr. Natale) that the CC advises that bouts of AF or what I had is not at all an

unusual event, even several weeks after the procedure. (Heart " Irritability "

from the PVA & the healing process, which you noted can take up to 3 months)

Conversely, as I recall, Lew posted a couple of weeks ago that he was

essentially NSR for 8 weeks post PVA & THEN went into AF, which resulted in a

touchup being required. Dr. Natale told me that if I was AF free after 8 weeks,

he would consider the procedure a success. Conversely, if I was experiencing AF

@ 8 weeks it would be considered a failure & a touchup would be required.

Remember, if you do need a touchup ( & it's to early to tell now), the chances

of a good outcome GO UP TO 95%. I spoke to @ the CC last week & she

indicated those patients with otherwise healthy hearts do even better than 95%,

so take heart ! (pardon the pun)

As for CC & phone calls, I leave a message, but if I haven't heard back from

them in an hour or so I call again & keep calling till I get a real human being.

Once you get to talk to someone, all of Dr. Natale's nurses I have spoken to

have been super & know their stuff. You need to keep them informed, especially

if the AF is getting worse or more intense, IMHO. You aren't " bugging them " by

calling - Be persistent !

Thor

3 week post PVA

Thor: Hi, this is Trevor from Houston. I had a PVA

three weeks ago at the CC with Dr. Natale. Were you

totally NSR after the procedure up until your golf

game episode? I have been in afib every day since the

procedure, and it is worse than before--stronger

erratic beats, more exhausting, although it doesn't

last long all the time (1 to 2 hours, although one

episode last week lasted almost all day). I called in

to the CC and used the phone transmittal of the EKG,

and they confirm I am in afib, but the CC center for

atrial fibrillation never calls me back. I am on

Betapace and Coumadin. I know I am supposed to give

this recovery period three months, but so far it has

not been good. I guess I don't have anything more to

say, but just wanted to vent.

Glad to hear you are doing well.

Trevor in AF

Houston, Texas

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Hi Trevor:

Yes, I have been NSR since the PVA with the exception of the PVA's for 30

minutes or so last week. I was reminded by , who is having a PVA Friday

(Dr. Natale) that the CC advises that bouts of AF or what I had is not at all an

unusual event, even several weeks after the procedure. (Heart " Irritability "

from the PVA & the healing process, which you noted can take up to 3 months)

Conversely, as I recall, Lew posted a couple of weeks ago that he was

essentially NSR for 8 weeks post PVA & THEN went into AF, which resulted in a

touchup being required. Dr. Natale told me that if I was AF free after 8 weeks,

he would consider the procedure a success. Conversely, if I was experiencing AF

@ 8 weeks it would be considered a failure & a touchup would be required.

Remember, if you do need a touchup ( & it's to early to tell now), the chances

of a good outcome GO UP TO 95%. I spoke to @ the CC last week & she

indicated those patients with otherwise healthy hearts do even better than 95%,

so take heart ! (pardon the pun)

As for CC & phone calls, I leave a message, but if I haven't heard back from

them in an hour or so I call again & keep calling till I get a real human being.

Once you get to talk to someone, all of Dr. Natale's nurses I have spoken to

have been super & know their stuff. You need to keep them informed, especially

if the AF is getting worse or more intense, IMHO. You aren't " bugging them " by

calling - Be persistent !

Thor

3 week post PVA

Thor: Hi, this is Trevor from Houston. I had a PVA

three weeks ago at the CC with Dr. Natale. Were you

totally NSR after the procedure up until your golf

game episode? I have been in afib every day since the

procedure, and it is worse than before--stronger

erratic beats, more exhausting, although it doesn't

last long all the time (1 to 2 hours, although one

episode last week lasted almost all day). I called in

to the CC and used the phone transmittal of the EKG,

and they confirm I am in afib, but the CC center for

atrial fibrillation never calls me back. I am on

Betapace and Coumadin. I know I am supposed to give

this recovery period three months, but so far it has

not been good. I guess I don't have anything more to

say, but just wanted to vent.

Glad to hear you are doing well.

Trevor in AF

Houston, Texas

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Trevor,

Sounds pretty much like my first ablation attempt. Hang in there, in

company with most patients I needed a second procedure. Five months

after that I remain in NSR with some ectopics.

But no AF!

Bob

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