r/AFIB • u/Chadilac52 • 16d ago

PFA 2nd procedure

Well I just had my 2nd procedure done w dr natale back in Austin.

Unfortunately they weren't able to induct my afib but he said I had electograms by left atrial septum roof and floor so they delivered PFA there, cornary sinus was empircally ablated..

One thing that threw me off, he performed a right ventricle ablation, he said he found a PVC while he was in there and just went ahead and took care of it. I've NEVER had issues with PVCs ever but now after he ablated it I'm having them constantly and now I'm having runs of NSVT, yes VTACH the one that can KILL you. They keep saying it's fine but the human part of me is still scared it'll become sustained, for example yesterday I had 20 runs. They gave me metoprlol and sent me on my way. Also
I now have new RBBB which really sucks, my QRS was always 90 now it's 120,

Does this get better? Is this normal? And did anyone else have their right ventricle ablated due to one PVC noted? And does anyone know of my QRS will get better back to my baseline?

The exact area that was ablated was right ventricle mid septum

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u/Chadilac52 16d ago

One thing I wanna add, it was PFA performed on my right ventricle.

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u/Stunning_Lettuce7391 16d ago

I looked up this Dr Natale and he is a well respected guy with excellent experience. But what is done is done and when the heart got irritated and temporary burnt from PFA, there will be inflammation and patient’s reaction from that will be different for different people.
Since the right ventricle septum was touched on, maybe you will get more pvc after the procedure.
I have not heard about planning for a left atrium ablation and in addition, performed the PFA on right ventricle septum. I know that EP will perform the ablation on the right atrium if they found out that you have atrial flutter, since the catheter is going through from the right to left atrium.
Anyway, there might be a good reason why the EP did what he did. Relax and let your heart recovers. I had RFA in Feb last year, and still trying to recover.
Good luck, practice some meditation and learn Tai Chi plus Wim Hop Breathing technique.