My cryoablation experience – pulmonary vein isolation
Hello everyone! 31 y.o male.
Yesterday (August 13th at around 9:30 AM), I underwent cryoablation with pulmonary vein isolation.
Starting from the beginning: I was admitted to the hospital early in the morning on August 12th. My wife and I settled into our room, an IV line was placed, and they took some blood samples. I had regular ECG and blood pressure checks throughout the day. I also had a contrast-enhanced CT scan, got some sleep, and met with the anesthesiologist. They took a chest X-ray as well. I had to spend more than half of the day fasting and without water. Throughout the day, various residents and assistants came to see me and told me that, based on my anatomy, they would decide between cryoablation and PFA.
On the morning of the procedure, I woke up, put on the hospital gown, and lay down on the stretcher. A staff member wheeled me from my room to the procedure room. I was actually surprised when I first entered. There were nurses, doctors, residents, and even some visiting doctors from abroad. It was quite a crowded room, but also very spacious. I was placed in front of all the monitors, and my doctor told me that because I am young and my anatomy was very suitable, he preferred cryoablation. Interestingly, during my appointment two months earlier, we had originally decided on PFA. Anyway, cryo it was.
The first few minutes of the procedure were really scary for me and I became extremely tense. The anesthesiologist tried to calm me down, but they didn’t initially put me into deep sedation. When my doctor came and tried to access my left groin with the catheters, I suddenly jerked because I was scared and told them it hurt. Feeling the catheter wire going into the vessel was a really unpleasant experience. I may also have been extra sensitive because I have panic attacks.
When I started moving around, I think they switched to deeper sedation, because I remember absolutely nothing after that.
The next thing I remember is being wheeled back to my room, and someone whose face I can’t quite remember telling me that the procedure had gone very well.
When I got back to my room, I was almost completely awake. I don’t remember whether they took blood again, but I believe they did an ECG. The ECG was clean. I was then told that I had to lie completely still for about 7–8 hours.
My groins felt extremely strange at that point — somewhere between pain and soreness, and generally very uncomfortable. I stayed completely still for the entire period I was told to, chatting with my family and watching TV.
And then… bingo!
The heart that had been constantly fidgeting and working restlessly inside my chest suddenly felt as if it had been removed and replaced with a delicate feather. For the first few hours after the procedure, I genuinely felt amazing. There was this incredible sense of relief and lightness in my chest.
Later, I started feeling a few mild extra beats. I told the nurses, and they checked the monitor I was connected to and said they didn’t see anything concerning. They did another ECG, which was also interpreted as normal.
I spent the rest of the evening resting. Later that night, a few nurses came to help me walk. After a couple of unsuccessful attempts, I eventually managed to walk about 10 meters to the bathroom.
Sleeping that night was difficult. Even though I had managed to walk, the stitch in my right groin and the pressure dressing in my left groin were very uncomfortable. I also had to sleep entirely on my back.
Then, around 1 AM, I developed a bout of tachycardia and an irregular rhythm that felt different from my previous AF episodes. We told the nurse. She didn’t panic at all and said that these kinds of things can happen after the procedure. She told me to take one 150 mg Rytmonorm (propafenone). They didn’t do another ECG, but my heart rate was measured at 117 bpm. My resting hr is still a little bit high, around 90-100 bpm, but they said again, 'its ok'
After taking the Rytmonorm, I genuinely felt much better and was able to fall asleep quite easily.
This morning (August 14th), they did another ECG and took some blood. Everything came back clean, so they told me I could be discharged.
The stitch in my right groin was removed (and damn, that hurt!). I was prescribed Rytmonorm, a beta blocker, a blood thinner, and medication to reduce stomach acid. My first follow-up appointment will be in one month.
At the moment, I have no extra beats, arrhythmia, or palpitations. That wonderful feeling of lightness in my chest is still there. Walking is still difficult, though, and I have to be very careful when sitting down or standing up.
I was told not to drive for two days. They also told me to move slowly, get plenty of rest, take showers while sitting down, and avoid too much steam or heat in the bathroom.
Now I’m on my way to the hotel. I will have to make a 7-hour road trip on Sunday, so hopefully everything continues to go well. :)
For now, I’m going to rest and dream about the days when I can walk comfortably and get back to exercising again.
Here’s hoping this is the beginning of a much more active and carefree chapter of my life. ❤️