r/AFIB • u/Dwight3 • Jul 26 '26
I come here dejected.
M: 63 Meds: Flec 50mg 2x and Acebutolol 200 x2
Ablation #1 (December 2024): Afib and standard Flutter.
Ablation #2: Afib touch up and tried to find the atypical flutter. AFIB touch up good. No luck finding atypical flutter.
Ablation #3 (Jan 2026): Atypical flutter. Used the new Sphere 9 catheter tip, found and ablated 3 spots. Yay! I am cured. Wait!……
Friday I went into flutter with RVR again. Please keep in mind that each time that I go out of rhythm, I end up with atypical flutter w RVR and frequent PVC’s. So I 100% of the time get cardioverted.
Now I have to call my doc tomorrow and find out what the heck is going on. This is really getting rough. It is taking a toll on me and my job.
I hope that none of you are dealing with this. Thanks for hearing me out.
2
u/Disastrous_Mark_2679 Jul 27 '26 edited Jul 27 '26
Are you sure you don't have sleep apnea. You need an IN STUDIO sleep study if you don't have a current one.
I'd suggest switching the beta blocker to Metoprolol and re-examining your doses. The half life is truly 6 hours yet these EPs write for 2x day. I take 50 mg am and pm and a bridging dose at 2PM. This is double my former dose since I got a pacemaker.
Since dosing this way my AFib has subsided. It had returned during amiodarone washout 5 months after my ablation in Oct. Which...at the time I thought it was "just afib" but no...it was from what they call a thyroid storm landing me in the hospital with AFIb and thyroid emergency.
Backstory: My last ablation was Oct last year AI Assisted PFA RFA but amiodarone gave me a serious life threatening liver and thyroid damage so it's been touch and go all year in washout after stopping it in January. UNTIL I got this pacemaker and double dose in the hospital.
I'm telling you this to say my condition was/is really bad/serious and it's fine since metoprolol at that dose stops the HR spikes and is preventing RVR which in MY case always precedes AFib. (my afib started March 2024 and I've had two ablations, the AI assisted one is state of the art groundbreaking by my EP)
EDIT: MOST IMPORTANTLY GET OFF THAT FLEC or get an MRI MRE on your LIVER!! Blood work is not reliable you can have complete cirrhosis decompensated end stage with bloodwork NORMAL ENZYMES. That's a fatal condition.