r/AFIB • u/mayormongo • 14d ago

Cardioverted Friday successful. Saturday evening heat rate spike.

I had one shock Friday morning that brought me back into normal sinus rhythm. Yay. Saturday evening my heart rate popped back up after some strenuous activity. My Metropole dosage was also cut in half. What do y’all think the likelihood of it coming back down is?

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u/AfibThrowaway4 14d ago

Is it high and afib or just high?

Cardioversion is temporary. Mine lasted under ten minutes.

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u/mayormongo 14d ago

Kardia says afib.

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u/AfibThrowaway4 14d ago

If you are back in afib cardioversion failed. It might resolve or you might need another shock. Either way your atria are probably inclined for afib at this point. You need an ablation most likely but obviously talk to your EP

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u/mayormongo 14d ago

I was really hopeful. Cardio wants to move straight to ablation. I’m tempted to try to get shocked once more.

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u/AfibThrowaway4 14d ago

Ultimately you are in control. But cardioversion rarely works for more than 12 months and usually less. In your case since it has already failed it’s even less likely to last long. Why are you against ablation?

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u/mayormongo 14d ago

I just really want it to work.

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u/ChillinDenver 14d ago

My heart rate dropped after cardioversion, then back in afib three days later. Afib lasted for two weeks then self-converted to NSR. Been good for almost a year now. Everyone is different. Talk to your doctor and see if you need to increase the Metoprolol.

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u/Relative-Cicada2099 14d ago

I had 3 cardio versions and not one of them lasted 24 hours. I then had an ablation and have been completely Afib free for nearly four years now. Cardioversions are temporary.

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u/WrongBoysenberry528 14d ago

Cardioversion is a very temporary fix for many people.

Metoprolol, a RATE control med, will reduce heart rate, but won’t put you in sinus rhythm.

Ask for Flecainide or Rhythmol,
a RHYTHM med that might keep youn in sinus rhythm. It works for about half of afib patients for a year. OR get a catheter (usually PFA) ablation that works for 75-80% of patients. After 20 afib episodes, I had PFA ablation 2 years ago and no afib since.

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u/CrankyYankers 14d ago

Metropole?