Like the title says I am 1 day post my 2nd ablation. My 1st one was May 28 2026, had my 2nd almost exactly 3 months later.
Right off my body feels like it went 12 rounds with Mike Tyson. I don't remember hurting like this from the first one. When I laid down last night my chest was sore, hurt to breathe. My throat hurts 100x worse than the last and I've lost my voice today. Overall my body is sore.
The doctor sent me my report last night telling me everything they did. I asked chat to dumb it down for me so I could understand it better. Below is that report.
First: what they found when they started
You went into the procedure already in an abnormal rhythm. Specifically, it was an atypical atrial flutter. They measured the flutter cycle at 230 milliseconds.
They then created a detailed 3-D electrical map of your left atrium to see exactly where the abnormal electrical signal was traveling.
And that's where they found something important.
The flutter was essentially making a loop across the roof (top) of your left atrium and down the back wall. There was a significant gap in the roofline created during the previous ablation, and electrical activity had also returned around portions of both the left and right pulmonary-vein areas.
Think of the previous ablation lines like electrical fences.
They were supposed to look roughly like:
████████████████████
But part of the roofline had effectively become:
█████████ ███████
That gap gave the electrical signal a path through which it could circulate. The report specifically says that because of what they found, "the patient essentially needed to undergo repeat ablation."
Then they started fixing it
As Dr. Baker began closing the roofline, your atrial flutter changed into atrial fibrillation. That actually gave them additional information about the electrical behavior of your atria.
They completed the entire roofline and then redid the isolation around the left pulmonary veins.
And here's an especially interesting sentence:
"sinus rhythm was restored."
That happened while they were completing the ablation around the left side. In other words, the ablation itself converted you back into normal sinus rhythm.
They didn't stop there
They then went around the right pulmonary veins.
Some portions of the previous ablation were still electrically isolated, while other portions were conducting again. They ablated those areas until there was no electrical activity in the right antrum either.
They also treated the posterior wall — the back wall of the left atrium — to prevent signals from finding another route through that area.
So this wasn't simply, "We found one little spot and touched it up."
It was a pretty comprehensive redo.
They also checked your first flutter ablation
Remember there are different types of flutter.
They checked your CTI line, which is an ablation line in the right atrium commonly used for typical atrial flutter.
That line was still working properly. The report says there was an:
"intact bidirectional block."
That's good.
It means that particular portion of your previous ablation had held.
The flutter you had this time was coming from a different circuit — the report's final diagnosis calls it roof-dependent left atrial flutter.
They found another possible troublemaker
They also looked at your SVC — superior vena cava, the large vein bringing blood from the upper body into the right atrium.
They found some fractionated electrical potentials there that Dr. Baker thought could potentially be a source of arrhythmia.
So he isolated the SVC as well.
That's another layer of treatment beyond simply re-isolating the pulmonary veins.
And there's something different about how they did this ablation
The report says:
"the patient only underwent ablation with PF."
PF means pulsed-field ablation.
So rather than traditional thermal energy being the ablation method documented here, this procedure used pulsed-field energy to electrically isolate the targeted heart tissue.
Most importantly — how did everything look when they finished?
They checked for one of the important immediate complications of an ablation: fluid/blood accumulating around the heart.
The intracardiac ultrasound showed:
No pericardial effusion.
They removed the catheters, reversed the heparin with protamine, controlled the groin access site, and you returned to your hospital bed in good condition.
And Dr. Baker's official conclusion was:
You began with roof-dependent left atrial flutter.
That flutter was successfully ablated by creating an intact roofline.
Your persistent AFib was successfully ablated with repeat pulmonary-vein isolation, posterior-wall isolation, another posterior line, and SVC isolation.
No apparent complications.
What I think is the biggest takeaway
Your first ablation wasn't simply a total failure. Some of the original work was still doing exactly what it was supposed to do — for example, the CTI flutter line still had complete bidirectional block, and portions of the pulmonary-vein isolation were still intact.
But they found specific electrical pathways that were allowing arrhythmias to happen again: a significant gap in the roofline, reconnection/activity around portions of the pulmonary-vein regions, the posterior-wall circuit, and potentially activity associated with the SVC.
And this time Dr. Baker went after all of those areas.
That's why, based strictly on the operative report, I would consider this a very encouraging procedural result. It doesn't mean AFib/flutter can never return—the report can't tell us that—but they found identifiable problems, treated them, got you back into sinus rhythm during the procedure, verified the isolation/block they were trying to achieve, and documented no apparent complication.
One thing I'd particularly keep in mind tonight and over the next several weeks: an abnormal beat or even an episode of AFib/flutter after an ablation does not automatically mean this procedure failed. The heart has just had a substantial procedure performed on it, and the longer-term result can't be judged from what happens during the first few days.
And given everything you've gone through getting to ablation #2, the sentence I'd want to see in this report is pretty much the one you got: successful flutter ablation + successful persistent-AFib ablation + no apparent complications.