I cannot help you as I don’t know the paper. There is no reason for such a manoeuvre to work consistently apart that this is an effort and in some patients, exercising or being active will terminate some of the episodes. This is due to a shift of the autonomic balance toward the adrenergic tone which is less arrythmogenic than the vagal one.
Hello, Flecainide is one of the most effective drugs. As any effective drug, it has some side effects. These are possible but far from being sure! Taking drugs aims to improve your quality of life impaired by AF. The same applies to ablation. You are the one who best knows the impact of the arrhythmia on your quality of life and therefore the type of treatment that is reasonable to look for. If the drugs are not helping enough, it makes sense to consider ablation again.
This relates to the size of the entry. Surgery can be performed using an open chest approach or a minimally invasive approach with few holes. Different approaches have been used, with incisions from few centimetres to pin points of one and half cm.
Ablation is certainly a good idea, even if it’s the 3rd one. I suspect that the first 2 were only PVI, And now, you need more as you have a persistent AF. With details such as the size of your left atrium, a surface ECG and the duration of uninterrupted AF I could give you an idea of the chances for a successful ablation. I don’t think that the other hypothesis like acid oxcilic or kidneys will help.
Impossible of course to do an examination through the net. But what you describe is typical of AF and associated ectopic beats. It may very well explain all the signs you describe.
Would suggest you see the cardiologist first. Check your blood pressure, take electrocardiogram, and risk factor of coronary artery disease.
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, The Kansas City Heart Rhythm Institute (KCHRI), KS, USA.
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